Originally developed for elite athletes who needed fast, durable recovery, our mesh-free techniques have since been tailored for anyone living an active lifestyle.
Whether you’re training, working, or simply staying fit, our approach restores strength and mobility to your groin, using your body’s own tissues—not plastic mesh.
Sports hernias are often mistaken for inguinal hernias—and treated the same way. But the causes are different, and so is the solution. Mesh implants don’t address the root of the problem. Our approach does.
High success rate
Reliable results with a high success rate—you’re in good hands.
Two weeks waiting list
4 weeks to full recovery
What is a sportsman's groin?
A sportsman’s groin (also called a sports hernia or athletic pubalgia) isn’t a “real” hernia. It’s a small tear or weakness in the lower abdominal muscles—right where they attach near the pubic bone. This injury can press on a nearby nerve, causing ongoing pain, especially during movements like sprinting, twisting, or kicking.
Because symptoms overlap with those of inguinal hernias, sportsman’s groin is frequently misdiagnosed. Standard hernia treatments like mesh repair don’t resolve the actual cause and may even restrict the flexibility of your abdominal area.
Symptoms
- Groin pain that comes and goes, often sharp or burning
- Pain that worsens with movement—like walking, bending, or twisting
- Discomfort during exercise, especially when changing direction or kicking
- Pain that may radiate into the inner thigh or lower stomach
- No visible bulge, unlike with a traditional hernia
- Relief at rest, but pain returns with activity
Side note: Sports hernias are relatively uncommon and usually affect professional or semi-professional athletes. If you have a visible or palpable bulge in the groin, it’s more likely to be an inguinal hernia ↗, which is typically easier to treat.
The path back to a pain-free life – in 3 steps
1. Physiotherapy as the first step
2. Surgery only if necessary
3. Quick and safe recovery
Our Minimal Repair technique explained
Developed by our expert, Dr. Ulrike Muschaweck, the Minimal Repair technique stands at the forefront of our offerings. Tailored to combat chronic groin pain — commonly known as sportsman’s groin or athletic pubalgia — this procedure is our answer to the specialised demands of elite athletes’ bodies.
1. Targeted incision
A small, precise incision is made in the groin area to access the weakened area.
2. Identifying the weak spot
Our surgeon carefully identifies and isolates the area of weakness in the groin, without manipulating or repositioning other tissues.
3. Tissue repair
The weakened area is reinforced using stitches to relieve pressure on compressed nerves in the groin. This restores stability and alleviates pain without the need for synthetic mesh.
4. Closing up
The incision is closed with absorbable sutures that dissolve naturally, supporting a smooth healing process with minimal scarring and allowing athletes to recover faster.
1. Targeted incision
A small, precise incision is made in the groin area to access the weakened area.
2. Identifying the weak spot
Our surgeon carefully identifies and isolates the area of weakness in the groin, without manipulating or repositioning other tissues.
3. Tissue repair
The weakened area is reinforced using stitches to relieve pressure on compressed nerves in the groin. This restores stability and alleviates pain without the need for synthetic mesh.
4. Closing up
The incision is closed with absorbable sutures that dissolve naturally, supporting a smooth healing process with minimal scarring and allowing athletes to recover faster.
9 days
21-28 days
92,8%
What sets our techniques apart from conventional hernia surgery?
Your groin is a sensitive area crucial for movement, flexibility and sexual function. Hernias disrupt this balance, causing discomfort and affecting quality of life. Our mesh-free approach restores strength and function naturally, avoiding synthetic mesh implants for a safer recovery.
Repairing the real cause
A sports hernia isn’t a traditional hernia. There’s no hole or bulge, but rather a small tear or weakness in the lower abdominal muscles. This can put pressure on a nearby nerve, leading to ongoing pain in the groin.
Standard hernia operations often use mesh to cover an opening in the tissue. But with a sports hernia, there’s no true opening to fix. That’s why mesh doesn’t help in these cases, and may even cause discomfort by limiting movement or irritating the nerve.
Our approach is different. We strengthen the affected area using precise stitches and relieve the pressure on the nerve. No mesh, no synthetic materials—just a natural repair that restores function and supports a quicker, lasting recovery.
A better fit for a dynamic area
The groin is a highly mobile part of your body, involved in everything from walking and bending to sexual activity. Unlike synthetic mesh, which remains rigid and can irritate surrounding nerves and tissues, a mesh-free repair uses your body’s natural flexibility to adapt and heal. This ensures that the repair integrates smoothly with your daily movements and doesn’t interfere with the sensitive structures in the area.
Avoiding unnecessary risks
Mesh repairs come with potential complications, especially in a sensitive area like the groin. Chronic pain, infections, or discomfort from having a foreign object in your body are all risks associated with synthetic mesh. By relying on your own tissue, our mesh-free technique eliminates these risks and promotes natural healing, so you can recover without added worry.
The benefits of our mesh-free repairs
Sports hernia surgery without plastic mesh, reduces the risk of complications such as infection and chronic pain, promotes natural healing, and preserves the body’s integrity.
Avoid mesh-related complications
Like most of our patients, you may prefer a mesh-free hernia repair to avoid complications and support your long-term well-being by relying on your body’s own tissue for a more natural recovery.
Fits an active lifestyle
We prioritise preserving your abdomen’s natural flexibility and function by using your body’s own tissue for the repair, avoiding the risks and complications associated with plastic implants.
Experienced team
Our team of skilled surgeons, anesthetists, and nurses, trusted by top athletes, provide world-class mesh-free hernia surgery with the highest standard of care.
Personalised treatment
We take pride in offering personalised treatment plans that prioritise addressing your specific needs and tailoring your recovery every step of the way—from the initial consultation to post-operative care.
Fits an active lifestyle
We prioritise preserving your abdomen’s natural flexibility and function by using your body’s own tissues, avoiding unnecessary stress or complications by foreign body implants.
Avoid mesh-related complications
Experienced team
Our specialised team of surgeons, anesthetists, and nurses, who also treat top athletes, provide you with world-class, mesh-free hernia care.
Personalised treatment
Honest reviews from those who chose us
Steven Price
”I had a hernia operation through BioHernia with Dr Koch in Germany just four weeks ago. As I type I’ve had no problems, and no pain for several weeks…”
Gerard Thomas
”Top job Dr Weise! Had my doubts but highly recommended….”
”My experience with BioHernia and Dr. Andreas Koch (Surgeon) was brilliant. I am pleased with the results of the operation…”
John C.
”I am a very happy customer of BioHernia. They arranged a mesh-less hernia repair for me with Dr Wiese in Frankfurt….”
Michael Yiasemides
”I am very happy with all aspects of my inguinal hernia repair, performed by Dr Koch…..”
Ed O'Connor
”Great service from Dr. Koch and his team. The process was so easy from start to finish thanks to Biohernia. I have applied for reimbursement of the costs from the Health Service Executive in Ireland…”
Rumen
”Short said AMAZING 👏
Been diagnosed with inguinal hernia in the Netherlands. After checking….”
Neil Doyle
”First and foremost, Dr. Koch’s surgical skills were nothing short of exceptional. His expertise in inguinal hernia repair instilled confidence…”
Brian Shelton
”Best Decision: My mesh free operation to correct an inguinal hernia was performed on a Wednesday morning a short 6 weeks after my initial call to Biohernia….”
Daniel Sab
”The last words from Dr Wiese I remember before to fall asleep in the operatory room were “You are in safe hands…”
Rik Kav
”I decided to get my hernia repaired by a specialist, rather than a general surgeon, and also in Ireland there are no surgeons who don’t use mesh…..”
edddwick
”I flew from Ireland for my surgery, having done my research and following the advice of an acquaintance who had done the same…”
Kev B
”I am a 49 year old male from the UK and I had a right ingunial hernia. I was given the opportunity via Biohernia to have a non-mesh repair done by Dr Andreas Koch in Cottbus Germany. The operation was a great success…..”
Julien Vailles
”Overall, I had a VIP experience with a great result in July 2021, my hernia is gone and I have no pain. I live in Ireland, I had an inguinal hernia for over 2 years …”
How BioHernia works
Assessment and video consultation with our surgeon
Travelling to our clinic
Undergoing the procedure
Recovery at home
Covered by your health system — in or outside the EU
If you’re seeking hernia surgery at our clinics in Germany, you may be eligible for reimbursement of your treatment costs — no matter where you’re from.
🇪🇺 For EU residents: Under the EU Cross-Border Healthcare Directive, you can claim a partial reimbursement from your national health insurance provider after receiving treatment abroad.
🌎 From outside the EU? If you have private health insurance, your treatment may still be reimbursed depending on your policy. We’ll provide detailed documentation to support your claim.
1.
Get a medical referral (if required by your insurer)
2.
Pay for your treatment at our clinic
3.
Submit your claim to your insurer or national health authority
We set the bar for mesh-free hernia surgery — and keep raising it
As pioneers in mesh-free hernia surgery, we are dedicated to leading the way in innovative, patient-focused treatments. Over 25 years ago, our surgeons were among the first to challenge the widespread use of plastic meshes in hernia surgery. Their commitment to providing safer, more natural solutions has driven our mission ever since.
With decades of experience and countless successful operations, our surgeons, along with our entire team, have continuously refined and perfected our procedures, ensuring that you receive the highest standard of care.
25+
years headstart in specialising and improving mesh-free hernia repair techniques
500+
operations done yearly by each of our surgeons, anesthesists and nurses
What our experience means for you:
Reduced recurrence rates
Introduction of lighter forms of anesthesia
Less recovery time
Preservering important muscles and nerves
Reduced incision size
Reduced operation risks
Reduced suture materials
Less operating time
Development of post-operative recovery plans for top mobility
Treatment in our clinics
Discover why thousands of people from around the world choose our clinics for treatment. Here, you’ll receive compassionate care, unmatched expertise, and exceptional skill, ensuring the best possible experience.
1 – Pre-operation
The day before your operation, you’ll visit the clinic for final pre-surgery checks. During this visit, you’ll meet your surgeon and anesthesiologist, who will walk you through the procedure and answer any remaining questions you may have.
Will the surgeon examine my hernia?
Yes, your surgeon will perform a full examination the day before your operation, taking time to answer any questions you may have. Additionally, the anesthesiologist will conduct tests to ensure you’re fully prepared for the procedure the next day.
What should I do to prepare for the operation?
Follow any instructions provided by your surgeon, such as fasting before the procedure or temporarily stopping certain medications. Stay hydrated the day before (unless instructed otherwise) and ensure you get a good night’s sleep. Arriving well-rested, relaxed, and on time will help ensure a smooth process. If you have any questions about preparation, don’t hesitate to reach out to our team.
2 – The operation
Our operations are typically scheduled in the morning and take about 45 to 60 minutes to complete. After the procedure, you’ll wake up gradually in the recovery room, where our team will monitor you closely. Once you’re feeling steady and comfortable, you’ll be able to leave the clinic on your own feet.
OPERATION DETAILS
Waiting list | Two weeks |
Duration of operation | 45 minutes |
When to stop eating before operation | Exact time will be instructed day before operation |
Type of anaesthetics | General anesthesia (local anesthesia is also possible) |
Type of incision | Open incision (5 cm) |
Success rate | 92%+ |
Length of scar after operation | Three to five centimeters |
Time to walking | Directly after operation |
Time to driving car/cycling | Driving is allowed after one week for right sided hernias. For left-side hernias with an automatic transmission car, driving is allowed the next day |
Time to full recovery | Four to six weeks |
Time to cycling | Light cycling after one week |
Showering | One day after operation |
Wound care | Apply new wound dressing daily, for six days | No sutures to be removed |
Flying | Two days after the operation |
3 – After care
In the two days after your operation, you’ll have follow-up visits with your surgeon to support your recovery. These appointments allow your surgeon to monitor your healing, address any concerns, and provide personalised advice to ensure a smooth and successful recovery.
Looking for more information?
For a more in-depth look at each step of the process, from consultation to recovery, check out our comprehensive Patient guide. It’s designed to answer all your questions and help you feel fully prepared for your operation.
The science behind better hernia surgery
We believe in providing the best care by using techniques backed by solid research and proven results. Our mesh-free operation methods are supported by clinical studies, many of which are conducted by our own experienced surgeons.
The road to full recovery
After your hernia repair repair, the journey to full recovery begins. We’re committed to helping you navigate this road to healing, ensuring you can embrace your active lifestyle once again. In the first week you might experience a bit of discomfort at the operation site. It’s not unusual to notice some swelling or a touch of bruising. Best to take it easy this week, though a short stroll can help with blood flow and ease stiffness.
Avoid lifting anything heavier than 10kg to give your body the time it needs to heal properly.
Focus on fibre-rich foods to prevent constipation and include plenty of protein to support tissue repair.
Stay active with light movement like walking, as it promotes blood flow and supports recovery.
The following weeks
As you move into the second week and beyond, your recovery will gradually progress. Swelling and bruising should subside, and your energy levels will start to return. While it’s important to continue avoiding heavy lifting or intense activity, you can begin to reintroduce more of your usual routine during this period.
Weeks 2 and 3
You can slowly increase your activity level, incorporating light household tasks, short walks, or gentle cycling on a stationary bike at home or in the gym. These are all great ways to improve blood flow and rebuild strength without placing strain on the surgical site. Be sure to listen to your body and avoid pushing yourself too hard during this stage.
Weeks 4 to 6
By this stage, your recovery is well underway, and you’ll feel significantly stronger. You can confidently return to your regular activities, including more dynamic exercises like running or competitive sports. For those who enjoy weightlifting or more strenuous workouts, this is the time to start reintroducing these activities. While the repair is strong enough to handle heavier lifting, it’s still important to ease into it, gradually increasing intensity to allow your body to fully adapt. Most patients find they’re back to feeling like themselves by the end of week 6, ready to embrace an active lifestyle without limitations.
Resuming normal life
1. When can I return to work?
Most patients can return to office work or light-duty tasks within 1–2 weeks. However, for physically demanding jobs, it’s best to wait until 4–6 weeks after the procedure.
2. When can I start exercising again?
You can resume light activities, such as walking, within the first week after surgery. For more strenuous exercises like weightlifting, running, or intense workouts, it’s best to wait 4–6 weeks and ease back into them gradually, paying close attention to how your body feels.
3. Will I have any permanent restrictions?
No, after the recovery period, you’ll be able to return to your previous activity and fitness levels without any limitations. Whether it’s working out, heavy lifting, or enjoying your favorite hobbies, you can confidently resume life as it was before the hernia—strong, active, and unrestricted.
Hear from people that chose BioHernia
Frequently asked questions
Can a sports hernia heal on its own?
Not usually. While rest and physiotherapy can help reduce pain, most true sports hernias don’t heal without surgery.
That’s because the issue often involves tissue weakness and nerve compression that needs to be repaired.
What’s the difference between a sports hernia and an inguinal hernia?
An inguinal hernia involves a visible bulge caused by tissue pushing through the abdominal wall.
A sports hernia doesn’t always have a bulge—it’s caused by a tear or weakness in the groin muscles, often pressing on a nerve.
They feel similar, but require very different treatments
Do I need surgery for a sports hernia?
Not necessarily. We recommend starting with physiotherapy for 6–8 weeks.
If pain persists after that, surgery may be the best next step—especially if it’s affecting your quality of life.
What kind of surgery is done at BioHernia?
We use the Minimal Repair technique—a mesh-free method designed to treat sports hernias without restricting mobility.
It’s done under local anesthesia, through a small incision, and most patients are back to normal activity within 1–3 weeks.
Do the surgeons always perform the operations themselves?
Yes, at our clinic, our highly experienced surgeons personally perform all operations to ensure the highest standards of care. They are directly involved in every step of the procedure, from the initial consultation to the surgery itself, and the post-operative follow-up.
I’m not an athlete—can I still have a sports hernia?
Yes. While it’s more common in athletes, we also treat active men who develop this condition through work, fitness, or everyday movement.
We tailor your treatment to your lifestyle, not just your sport.