Umbilical hernia and inguinal hernia both occur due to a weak abdominal wall, where abdominal contents protrude through a narrow hernial sac to the surface, causing symptoms. If incarceration occurs in either an umbilical hernia or an inguinal hernia, it cannot be said which type is more severe. The severity depends on the incarcerated contents and the stage of associated blood supply disruption. Immediate surgery is necessary if incarceration causes bowel necrosis, as it can lead to paralysis, necrosis, systemic symptoms, and even death. Compared to inguinal hernia, the hernial ring in an umbilical hernia appears smaller and is more prone to incarceration. Therefore, for umbilical hernias occurring in infants over two years old and adults, we opt for prompt surgical treatment to prevent future complications. In the case of an inguinal hernia, if there is no obvious incarceration, we may observe temporarily and choose surgical treatment when the body is able to tolerate surgery.