What happens if you don't get a hernia fixed?

He has managed with it for 12 years so it obviously isn't doing him any harm and there is no reason why he cannot have sex (ex husband had a hernia) The worst that can happen is that it strangulates and causes sever pain, hernia operations are done at the day surgery department of your hospital. He should see the doctor about his gout, drinking and diet. Good Luck.