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An epigastric hernia is treated with surgery to repair the opening in the abdomen wall that runs between the breastbone and naval. Most epigastric hernia surgery can be scheduled; emergency surgery is rare. There are two types of hernia surgery - herniorrhaphy (one long incision) and laparoscopy (several small incisions). Having more than one epigastric hernia or severe symptoms can influence which surgery is used to treat your hernia.