Hernia Treatment Open hernia repair In this procedure, which might be done with local anesthesia and sedation or general anesthesia, the surgeon makes an incision in your groin and pushes the protruding tissue back into your abdomen. The surgeon then sews the weakened area, often reinforcing it with a synthetic mesh (hernioplasty). What is best treatment for hernia? What is the best treatment for a hernia? Hernias will not go away with time, nor can they be treated with exercises or medication. According to Dr. Sherman, surgery is really the only treatment to repair a hernia.