Hi, thanks for posting your concern in the HCM.
I think all adult umbilical
hernias should be repaired because of high risk of complications.
Indications for surgery include-
pain,
incarceration,
strangulation,
defect larger than 1 cm,
skin ulceration,
hernia rupture.
As you are having pain, that is also an indication for repair.
However, as your local doctors have opined that there is no need to go for operative repair, I think there must be some rationale. But, you may also take a
second opinion from a local surgeon regarding the issue.
Hope you are satisfied with my answer. If you have any further query related to this, please write back.
In case you have any additional query, you can directly ask me questions @ http://www.HealthcareMagic.com/doctors/dr-kaushik-sarkar/68460. I will try my level best to help you. Please also remember to attach scanned copies of all the reports when you ask a direct question.
Regards,
Dr. Kaushik