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Umbilical hernia surgery

An umbilical hernia occurs when the peritoneum or fatty tissue pushes through a weakness in the abdominal wall around the navel. Externally, it appears as a bulge or lump near the belly button. The hernia may be painless, but over time it can enlarge or start causing pain during straining, coughing, or heavy lifting.

When to see a specialist

  • A new or enlarging bulge has appeared near the navel;
  • The bulge enlarges when coughing, straining, or standing upright;
  • The area around the navel is painful or sensitive to pressure;
  • The hernia interferes with sports, work, or lifting heavy objects;
  • A bulge that was previously soft or disappeared when lying down no longer recedes.
  • Seek emergency medical care immediately if the bulge suddenly becomes very painful or hard, cannot be pushed back in, or is accompanied by nausea, vomiting, or abdominal bloating.

Common symptoms

How to prepare for your appointment

  • Bring an ID card or another valid identification document.
  • Inform the doctor about all medications, dietary supplements, allergies, and underlying health conditions.
  • If you take blood-thinning medications (anticoagulants), inform your doctor. Do not stop taking them on your own initiative.
  • Undergo all tests and examinations ordered by your doctor prior to surgery, and complete the anesthesia questionnaire.
  • Umbilical hernia surgery is performed under general anesthesia; please follow the eating and drinking instructions provided by the clinic.
  • Do not shave the surgical site at home. If necessary, this will be done at the clinic.
  • In the event of fever, acute cough, cold, or any other illness, contact the clinic before arriving for surgery.
  • Arrange for an escort to take you home. You must not drive a car on the same day following general anesthesia.

What to expect during your appointment

Surgeon consultation

The surgeon will examine the hernia, ask about your symptoms, and assess whether surgery is necessary. If needed, you may be referred for additional diagnostic tests, such as an ultrasound.

Surgical planning

The doctor will explain the surgical technique, anesthesia options, risks, and recovery process. Together, you will agree on a treatment plan.

The surgery

The procedure is performed under general anesthesia. The surgeon returns the hernia contents back into the abdominal cavity and closes the weak spot. If necessary, the abdominal wall is reinforced with a specialized surgical mesh to reduce the risk of recurrence.

Monitoring and discharge

This is performed as day surgery (outpatient procedure). After surgery, your well-being and pain levels will be monitored in the recovery room. You will be able to go home the same day.

Recovery

You will be provided with instructions regarding wound care, pain management, physical movement, and exertion limits. A follow-up appointment will be scheduled if needed.

Related services

Frequently Asked Questions

Does every umbilical hernia require surgery?

Not always. A small, asymptomatic hernia can sometimes be monitored. Surgery is considered primarily when the hernia enlarges, causes pain, interferes with daily activities, or poses a risk of incarceration (strangulation).

Is surgical mesh always used?

Not always. The need for a mesh depends on the size of the hernia, tissue condition, and the chosen surgical technique. The surgeon will discuss this with you during your consultation.

Can I go home on the same day?

At Meliva, umbilical hernia repairs are performed as day surgery, meaning patients are discharged on the same day.

When can I return to work and resume physical activity after surgery?

Return-to-work timing primarily depends on the nature of your job. For light desk work, this is often possible within 1–2 weeks. For physically demanding labor, recovery may take 4–6 weeks. Your surgeon will provide specific guidance based on the extent of your surgery and your personal recovery.

Are swelling and bruising normal after surgery?

Yes. In the first few days, swelling, tenderness, and bruising may appear around the surgical site. These typically subside gradually over a few weeks.

When should I contact a doctor after surgery?

Contact a doctor if:

  • The wound is bleeding heavily;
  • There is purulent discharge (pus) from the wound;
  • Pain intensifies and is not relieved by standard painkillers;
  • You develop a fever above 38 °C;
  • Significant redness, swelling, or heat develops around the wound area.