Can an inguinal hernia become incarcerated or strangulated on its own?

Yes: That is precisely why surgical repair is recommended before you find yourself in that situation, as it is a medical emergency. See a surgeon to discuss repair. The surgery is usually relatively simple with a short recovery time depending on the method used.

Yes it can: It can, but the overall chance is low. Even though the chance is low, it is unpredictable if it will happen to you or not. Additionally, unit happens, it can be life threatening. Also, planned repair is generally associated with less risk than emergency repair, and you can pick your surgeon for planned repair. Check the Americas hernia Society website to find the surgeon interested in hernia repair.