<s>[INST] Have have been diagnosed through ct of a lumbar incional hernia following 360 spine fusion 1 1/2 years ago. It has only recently started to bother me - ct scan measures it 3 cm diameter (though it looks and feels much bigger to me). I have h/o lung cancer (completely recovered) and aside from this am in good health, work, and am physically active. Is this something that should be surgically fixed even though I am only uncomfortable, not in real pain? [/INST] Hi, as you mentioned your history i don't think you should worry much as there are no symptoms. You can perform regular exercises of spine strengthening and core stability which will help improve the metabolism of the body and reduce the hernia formation. Since body is a self healer at most times. Also performing regular breathing exercises will keep the functions of the lung to optimum. Also, if there are symptoms which are like pain or anything else then a neurologist is contacted. But most cases with incisional hernia improve gradually with simple exercises. Provide gradual slow kneading massage to the incisional hernia as it will improve the scar mobility and reduce the tightness of the skin. With the grace of god I wish you a good health. </s>