The updated international HerniaSurge guidelines provide a contemporary evidence-based framework for the management of groin hernia. The update incorporated new evidence and expanded recommendations across diagnosis, operative technique, postoperative care, recurrence and patient-centred decision-making. One of the most useful aspects of the document is its emphasis on tailoring the approach to the patient rather than declaring one universal “best” operation. Surgeon expertise, hernia characteristics, primary versus recurrent disease, bilateral presentation, patient preferences and available resources all influence the choice between open and minimally invasive repair. For surgeons, guideline-based practice can help reduce variation while preserving room for individualized decisions. The document also reinforces the importance of shared decision-making and appropriate training, particularly when advanced minimally invasive techniques are being adopted. The guidance is especially relevant to ASICON's TAPP, TEP and abdominal wall skill courses because it places these techniques within a broader evidence framework. The key clinical question is not simply which operation is technically possible, but which approach provides the best balance of recurrence prevention, postoperative pain, recovery, chronic symptoms and resource use for a specific patient. The updated recommendations therefore support structured, patient-centred hernia practice rather than procedure-driven decision-making.