I have an inguinal hernia that has been getting larger in size and has now entered my scrotum. I have an appointment in two weeks with a Gastro/Surgeon who specializes in inguinal hernias. I have read all sorts of horror stories (on the Internet of course!) about people who have experienced really bad side effects from the inguinal hernia surgery including nerve damage, problems with incontenence, and continued pain. When is it generally necessary to get a hernia repaired. I don’t seem to have any pain per se but the large increase in size and the presence in the scrotal sac scare me.