This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Surgery
[{'content': "All are true about para umbilical hernia except \nSelect and explain. \nA. Occurs adjacent to umbilicus, B. Can lead to Richter's hernia, C. High chances of strangulation, D. Conservative management", 'role': 'user'}, {'content': 'Answer: D \nExplanation: All paraumbillical hernias should be treated surgically (open or laparoscopic).', 'role': 'assistant'}]