The fourth meeting was organized from the 19th to 21th of February 2009 in New Delhi/India as a “Consensus Conference for the Development of Technical Guidelines in Endohernia Surgery”. The meeting was hosted by Pradeep Chowbey (Executive Vice Chairman – Max Healthcare Chairman – Surgery & Allied Surgical Specialities Chairman – Max Institute of Minimal Access, Metabolic & Bariatric Surgery New Delhi. Founder President-Asia Pacific Hernia Society (APHS)). The conference had been excellent organized by Pradeep Chowbey and his team and took place in a really wonderful atmosphere. The meeting was the origin for the guidelines on treatment of inguinal hernias, which could be published in 2011 in the prestigious Journal Surg Endosc (see publications).