Groin hernias may be congenital (born with one) or acquired (developed over time).  Congenital hernias follow the testes as they descend into the scrotum during development in the womb.  A congenital hernia may be diagnosed as an infant or may not show up until later in life.  An acquired hernia develops from a weakness or tear in the muscle or fascia.  This may result from repetitive strain.

Ventral hernias may develop in an area of weakness or through the scar of a previous surgical incision.

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