Femoral hernias occurred in 216 patients in a period of six years, with an overall recurrence rate of 6.5%. The McVay repair, used in cases of strangulation, incarceration, and recurrence, as well many routine cases, was performed upon 101 patients; the McVay Moschcowitz repair was performed upon 23 patients. There were nine recurrences (7.3%) after these two operations. The Moschcowitz repair was performed 46 times with four recurrences (9%). The Bassini operation or lower approach was utilized 44 times in uncomplicated cases, with a recurrence in only one patient (2.3%). We feel that the McVay repair has given the best overall results. The Bassini repair is recommended in selected cases.