Figure 1: I. Illustration representing preliminary tension-free procedure according to Lichtenstein (reprinted from: Amid, P.K., Lichtenstein tension-free hernioplasty: its inception, evolution, and principles. Hernia, 2004. 8(1):1-7, with permission from Springer Science and Business Media). II/III. View during groin exploration. The spermatic cord (F) appears to be split. The mediodorsal part, containing the genital branch of the genitofemoral nerve (E) is crushed by the mesh (G) that is fixed onto the pubic bone. The ventrolateral portion of the cord (E) is pulled cranially. The mesh is retracted by the forceps (G) while the surgeon’s finger is on the remaining portion of the mesh (B). A. Internal oblique muscle, B. Polypropylene mesh, C. Inguinal ligament, D. Internal oblique aponeurosis, E. Lesser cord containing the genital nerve, F. Spermatic cord, G. Polypropylene mesh infiltrated by the patients tissue.