it is not to do with money, sunday telegraph

The reason I want to see more information for patients and to be cautious about the growth in medical intervention rates is not to do with money but with ensuring that the patient gets all the information they need to make the right decision

i was taught that we should always operate on hernias; theevidence is different now

‘a strategy of watchful waiting is a safe and acceptable option for men with asymptomatic or minimally symptomatic inguinal hernia’
‘Fitzgibbons RJ et al (2006)
watchful waiting vs repair of inguinal hernia in minimally symptomatic men
jama 295; 285-292
‘surgeons are increasingly appreciating that chronic pain after hernia repair may affect 5 to 20% of patients and occasionally requires chemical or surgical neurectomy’
Flum  d r 
the symptomatic hernia; if it’s not broken dont fix it
jama 295 328 329