In some cases your doctor may suggest watchful waiting in cases that are asymptomatic. However, it's important to note that even small hernias can potentially grow larger over time and lead to complications. Long-term untreated epigastric hernias run the risk of becoming incarcerated (a hernia that gets stuck in the out position), strangulated (an incarcerated hernia that is being starved of its blood supply), or infected. These conditions pose a serious risk to your health and require immediate medical attention.