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The two approaches for inguinal hernia repair in bulls are the standing flank approach and the inguinal approach performed in lateral recumbency. The primary advantage of the flank approach is that it does not require general anesthesia. However, not all hernias can be reduced through the flank approach and closure of the inguinal ring must be performed blindly. Utilizing the inguinal approach requires general anesthesia but provides much better surgical exposure and simplifies closure of the inguinal ring. The improved exposure allows for the identification and transection of adhesions between the herniated bowel and parietal tunic and facilitates resection and anastomosis of injured and strangulated bowel. Therefore bulls that present with an inguinal hernia and evidence of abdominal pain should be repaired by the inguinal approach [18].