Do groin hernias go away or is surgery always required?

Surgery is required: Once a hernia is identified - it will never improve without intervention.

Groin Hernias: Groin hernias will never go away. They might become less symptomatic, especially as we treat exacerbating issues, such as constipation, prostate problems and coughing. Hernias will otherwise just enlarge over the years and will likely eventually cause worsening symptoms.