A 55 y/o male patient has a history of progressive symptomatic bulging in the inguinal region. He had a fall from great heights 5 years ago and sustained a pelvic fracture that required osteosynthesis through a right transverse inguinal incision that crosses midline. No details of the procedure are available. CT scan images showed large direct defects especially on the right and deformation and osteosynthesis material at the pubic ramus.How to name this type of defect is controversial: incisional (produced by the old procedure) , post traumatic (by the fall), pelvic or inguinal (place where it occurred) or direct inguinal (not likely). Interesting points of discussion are the surgical approach, the extend of dissection, the type, size and method of fixation of meshes and the methods to prevent seroma formation. How to name this type of defect is also controversial: incisional (produced by the old procedure) , post traumatic (by the fall), pelvic or inguinal (place where it occurred) or direct inguinal (not likely).