This image shows the right groin. The inguinal canal was located using bony landmarks.

The incision is made down to the level of the superficial ring. The needle is injecting anesthetic to the area.

The ilioinguinal nerve has been dissected out and is being preserved by placing it lateral to a flap of the external oblique aponeurosis.

The bulge of the direct hernia becomes clear.

A polypropylene mesh and absorbable sutures are used to repair the defect.