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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 differenent only in their location relative to the inguinal ligament. A hernia in the groin area above the inguinal ligament is an inguinal hernia; below the ligament a femoral hernia. A highly skilled and experienced surgeon who does the procedure in high volumne is helpful to determine what type of hernia is present. Sometimes this is only evident at the time of surgery.