Can you live with a hernia in your testicles?

Not recommended. Patients can live with hernias for years and not have symptoms, however if you have a hernia large enough that it reaches your testicles, i would recommend surgery to fix that hernia. The larger they get the more difficult it can be to repair and the more risks involved including recurrence of the hernia. In general, any inguinal hernia that is large or causing symptoms should be repaired.