rich 1.0 In this episode of EPA Playbook, Drs. Jason Bingham, Emma Burke, and Agnes Premkumar discuss the evaluation and management of inguinal hernias through a case-based approach that reinforces key EPA concepts for surgical trainees. We specifically highlight the importance of a thorough history and physical exam, emphasize risk stratification, and indications for surgery versus watchful waiting. We briefly review a few postoperative considerations as well. ***FREE EPA COURSE: https://behindtheknife.org/premium/epa-playbook Simply create an account on behindtheknife.org (https://behindtheknife.org/) or our app and you the course will automatically show up in your Library. For additional information on EPAs, visit the American Board of Surgery EPA webpage: https://www.absurgery.org/get-certified/epas/. Cited studies: Miserez M, et al. "Update with level 1 studies of the European Hernia Society guidelines on the treatment of inguinal hernia in adult patients." Hernia. 2014;18(2):151-163. PubMed ID: 24504225 (https://pubmed.ncbi.nlm.nih.gov/24504225/) Carrick MA, et al. "Smoking and anaesthesia." BJA Educ. 2019;19(1):1-6. PubMed ID: 33456860 (https://pubmed.ncbi.nlm.nih.gov/33456860/) Amid PK, et al. "Local anesthesia for inguinal hernia repair step-by-step procedure." Ann Surg. 1994;220(6):735-737. PubMed ID: 7979603 (https://pubmed.ncbi.nlm.nih.gov/7979603/) Huy TC, et al. "Reoperation for chronic postoperative inguinal pain." JAMA Surg. 2025;160(9):984-991. PubMed ID: 39855588 (https://pubmed.ncbi.nlm.nih.gov/39855588/) Behind The Knife: The Surgery Podcast https://audioboom.com/channels/5046960-behind-the-knife-the-surgery-podcast Audioboom https://audioboom.com 480 95 https://audioboom.com/i/39463562/600x600/c 600 600 <iframe width="100%" height="95" src="https://embeds.audioboom.com/posts/8917331/embed?v=202301" style="background-color: transparent; display: block; padding: 0; width: 100%" frameborder="0" allowtransparency="allowtransparency" scrolling="no" title="Audioboom player" allow="autoplay" sandbox="allow-downloads allow-forms allow-popups allow-same-origin allow-scripts allow-storage-access-by-user-activation allow-top-navigation-by-user-activation"></iframe>