Campanelli G, et al. – The authors here aimed at focusing on pros and cons of the open repair of primary inguinal hernia. Open anterior repair for inguinal hernia seems to offer several distinct advantages over endoscopic repair, especially when real–world effectiveness was taken into account. As per them, every surgeon should know and be able to perform this procedure as it is necessary to treat two conditions, groin hernia recurrence after a posterior approach (both laparoscopic and open) and pubic inguinal pain syndrome.