Abstract   Introduction: Postoperative pain following mesh hernioplasty is one such complication that has been a significant, albeit possibly underreported issue. Mild pain lasting a few days is common following mesh inguinal hernia repair. It is imperative to differentiate this pain from chronic groin pain or inguinodynia. Aims and Objectives: To study the Pattern of Visual Analogue Scale in the Treatment of Hernia Patients Methodology: The study included 100 consecutive patients (both men and women) who presented to Department of General Surgery, Yenepoya Medical College, Mangalore during the above mentioned time period. Patients referred with inguinal hernia from other departments were also included were selected All patients underwent Lichtenstein’s tension free mesh inguinal hernioplasty by an experienced surgeon Patients were followed up for 3 months and pain was assessed in each patient at end of 1^st, 2^nd and 3^rd month respectively Pain was assessed using Pain Assessment Visual Analogue Scale ⁶ The scale is filled by patients themselves. Using a ruler, the score is determined by measuring the distance (mm) on the 10-cm line between the “no pain” anchor and the patient’s mark, providing a range of scores from 0–10. Result: The mean VAS score was 3.6 Most of the patients had a VAS score of 2 (26%) and 3 (25%). Only 12 patients had a score above 5. At the end of 2 months, more patients had a score of 4 (22%) with the mean score being 3.24 After 3 months, the mean was 3.19 with the commonest score being a low 1 (29%). Conclusion: We concluded in our study that inguinodynia is prevalent in all hernia surgeries. Efforts should be made to apply possible preventive measures intraoperative. Also, more studies with longer follow up periods need to be performed to find the actual impact of the problem.

Keywords: Visual Analogue Scale, Hernioplasty.