Level 2B	Local anesthetic at suture sites during surgery significantly decreases acute early pain.
Level 2B	Pain pump placement makes no difference in acute or chronic pain
Level 4	Tissue glue results in “low levels of postoperative pain.”
Level 2B	The visual analog scale (VAS) shows no difference between absorbable and permanent fixation sutures at 3 months, but quality-of-life (QOL) differences (physical activity) are experienced
Level 2B	Pain is not correlated with the number of tacks
Level 3	No consistent difference between PP and other LW meshes is shown by pain scores
Level 4	Absorbable fixation tacks are associated with few cases of chronic pain at 1 year
Level 2A	Transfascial sutures with tacks do not result in higher pain scores than tacks only
Level 2B	Permanent suture fixation at 2- to 3-cm intervals results in a higher number of patients with pain 6 months postoperatively compared with tacks-only fixation
Level 2B	Pain frequency after permanent suture fixation at 6 months is similar to that for tacks-only fixation
Level 2B	A permanent corner suture plus double-crown tacks results in higher VAS scores than permanent sutures only in hernias with a defect size <5 cm.