Yes, it is mandatory. For treatment of hernia, surgery is the only remedy. Surgery was, is and probably will always be the only treatment for hernia. Delay in operation can result in enlargement of hernia or may cause complication like obstruction or strangulation, resulting in gangrene of a part of the intestine, which requires emergency surgery. During such complication, apart from hernia repair this surgery may requires removal of gangrenous bowel increasing the risk of surgery and also risk of mesh infection.