In general, all hernias should be repaired to avoid the possibility of future intestinal strangulation. If you have preexisting medical conditions that would make surgery unsafe, your doctor may not repair your hernia but will watch it closely. Rarely, your doctor may advise against surgery because of the special condition of your hernia.

Some hernias have or develop very large openings in the abdominal wall, and closing the opening is complicated because of its large size. These kinds of hernias may be treated without surgery, perhaps using abdominal binders. Some doctors feel that the hernias with large openings have a very low risk of strangulation.

The treatment of every hernia is individualized, and a discussion of the risks and benefits of surgical versus nonsurgical management needs to take place.

Source: How To Get Rid Of Hernias