This edition of the SAGES Manual of Hernia Surgery aligns with the current version of the new SAGES University MASTERS Program Hernia Surgery pathway. This manual serves as a curriculum for participants in the MASTERS Program as well as a modern text on hernia surgery for all learners. Hernia surgery is one of the fastest developing fields in general surgery today. There have been rapid advancements in hernia techniques in recent years, making most prior texts on the subject obsolete. These advancements involve significant evolution in both the techniques and strategies for hernia repairs, as well as the tools used to achieve these means. This text thoroughly addresses the multiple component separation techniques and options for locations of mesh repairs.