Inclusion Criteria:  Age 18 or older Patients undergoing unilateral laparoscopic inguinal hernia repair, found to have a contralateral occult inguinal hernia  Exclusion Criteria:  Patient has life expectancy of less than 2 years Patients unlikely to follow-up (e.g. live out of state, unable to be reached by phone/e-mail Non-English and Non-Spanish speakers Pregnant or breast-feeding patients