All of the above. We do a combination of general and local/regional anesthesia for hernia surgery. This has the advantage of allowing us to use a light form of general anesthesia that reverses quickly. Patient wake up quickly and pain free. This shortens their time in recovery and makes anesthesia safer and more pleasant. We also use a local anesthetic that lasts up to 24 hours. That means most patients are very comfortable their first day and night after surgery. Even when the local has worn off patients who had the local are more comfortable than patients who never had the local. This is a huge benefit for patients who are traveling home after surgery.