Hernias are more common in Rwanda than is commonly thought. In fact estimated burden (prevalence) of hernias in Rwanda is 5.78%³. This compares with 5.36% in Tanzania¹ and 3.15% in Ghana in West Africa.² Repair of Hernias with Mesh (Lichtenstein) has become the standard in high income countries.  In low resourced countries high tension, sutured repair is standard because of cost of brand mesh and lack of skill. Resultant high recurrence rate increases total cost of treatment of hernias. Mesh repair of hernias averts significant number of disability adjusted life years (DALY)