The HerniaSurge Group has developed comprehensive international guidelines for the management of adult groin hernias, aiming to improve patient outcomes and reduce complications. The guidelines cover various aspects of groin hernia repair, including risk factors, diagnosis, treatment options, and postoperative care. Key recommendations include the use of mesh repair as the first choice, with open or laparo-endoscopic techniques, and the importance of considering patient-specific factors such as age, gender, and comorbidities. The guidelines also emphasize the need for standardized care, national registries, and multidisciplinary team management to address chronic pain and other complications. The HerniaSurge Group encourages the adoption of these guidelines to enhance the quality and safety of groin hernia surgery worldwide.The HerniaSurge Group has developed comprehensive international guidelines for the management of adult groin hernias, aiming to improve patient outcomes and reduce complications. The guidelines cover various aspects of groin hernia repair, including risk factors, diagnosis, treatment options, and postoperative care. Key recommendations include the use of mesh repair as the first choice, with open or laparo-endoscopic techniques, and the importance of considering patient-specific factors such as age, gender, and comorbidities. The guidelines also emphasize the need for standardized care, national registries, and multidisciplinary team management to address chronic pain and other complications. The HerniaSurge Group encourages the adoption of these guidelines to enhance the quality and safety of groin hernia surgery worldwide.