| Grade D | Because currently there is no way to predict the biologic interaction of each patient to each available hernia mesh, the patient should be informed of potential interactions and complications. The complexity and variability of the biologic interaction also would argue against the restricted availability of mesh choices within a hospital or outpatient surgery center, allowing surgeons and patients to have options between a variety of mesh choices |
| Grade D | Mesh removal may be an appropriate measure in addition to other procedures such as neurolysis and/or neurectomy in an attempt to relieve pain in a patient with chronic groin pain after inguinal hernia repair |
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