Tolerance to inguinal hernia repair under local anesthesia was prospec
tively evaluated in a consecutive series of 41 patients who underwent
hernia repair with local infiltration of 0.75 per cent lidocaine. Intr
aoperative discomfort was measured by an analog visual scale. All comp
lications were also recorded. Mean intraoperative pain was mild (1.6 /- 1.4). There were two complications. Wound infection and wound hemat
oma occurred in one patient each. There was no operative mortality. No
rmal diet was tolerated the day of surgery in 39 patients, and 30 were
discharged from the hospital on the same day. Our series supports goo
d tolerance and a low complication rate when inguinal herniorrhaphy is
performed under local anesthesia.