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The British Hernia Centre. Femoral hernias occur in the groin â the small area of the lower abdomen on each side, just above the line separating the abdomen and the legs.
It can be difficult to determine if a hernia is a femoral hernia or an inguinal hernia. They are only differentiated by their location relative to the inguinal ligament. A hernia in the groin area that is above the inguinal ligament is an inguinal hernia; below the ligament, it is a femoral hernia. It often takes a specialist to determine what type of hernia is present and it may only be identified once surgery begins.