While the literature on yoga therapy in surgical patients is extensive, there is a paucity of studies specifically addressing its role in abdominal surgeries such as ventral hernia repair, where immediate postoperative pain and chronic pain are big issues which still need to be addressed. Return to normal work and physical activity can also be hindered as a result of inguinal pain.

A pilot study by Sharma et al [24] investigated the feasibility and preliminary efficacy of yoga therapy in improving post-operative outcomes in patients undergoing abdominal surgeries. Although the study focused on a heterogeneous group of abdominal surgery patients, including those undergoing hernia repair, it reported promising results in pain reduction and functional improvement following yoga therapy.

   Understanding the underlying mechanisms of action of yoga therapy in pain management is crucial for elucidating its potential benefits in surgical patients. Research suggests that yoga interventions may modulate pain perception through various physiological and psychological mechanisms, including activation of the parasympathetic nervous system, reduction of inflammation and stress hormones, enhancement of self-awareness and mindfulness, and promotion of relaxation and coping skills. Reviews by Cramer et al [5] provide comprehensive overviews of the mechanisms and neurobiological effects of yoga therapy in pain management across different populations.

   Assessing patient preferences and acceptability of yoga therapy interventions is essential for informing the design and implementation of clinical trials in surgical populations. Qualitative studies exploring patient experiences with yoga therapy in pain management have highlighted factors such as perceived effectiveness, enjoyment, sense of empowerment, and satisfaction with the holistic approach. Understanding patient perspectives can inform patient-centred care and enhance adherence to yoga interventions in post-operative settings.

   While the primary focus of this study is on post-operative pain management, exploring the broader effects of yoga therapy on surgical outcomes and to provide valuable context and insights. Studies by Innes and Vincent[18] and Bussing et al.[25] have investigated the effects of yoga interventions on perioperative anxiety, stress, immune function, and recovery outcomes in surgical patients. Considering these broader outcomes alongside pain management can enhance the comprehensiveness and inform holistic approaches to post-operative care.

   Patient education and empowerment are integral components of holistic healthcare delivery. Research by Telles et al.[26] and Evans et al.[27] has explored the role of yoga therapy in enhancing patient self-management skills, self-efficacy, and self-care behaviours, which can contribute to improved post-operative outcomes and long-term well-being. Integrating patient education components into yoga therapy interventions can foster active patient engagement and facilitate self-directed pain management strategies.

   Evaluating the cost-effectiveness of complementary therapies such as yoga in surgical care is essential for healthcare resource allocation and decision-making. Economic evaluations conducted by Herman et al.[28] and Saper et al.[29] have assessed the cost-effectiveness and cost-benefit ratios of yoga interventions in various clinical populations, highlighting potential healthcare cost savings and improved health outcomes. Investigating the cost-effectiveness of yoga therapy in post-operative pain management can provide valuable evidence for healthcare policymakers and stakeholders.

 In conclusion, the literature suggests that yoga therapy holds promise as a complementary intervention in alleviating post-operative pain and improving overall well-being.

   The current literature supports the potential role of yoga in reducing inflammatory markers in post-operative patients. While direct evidence in ventral hernia patients is limited, the broader body of research suggests that yoga can effectively modulate inflammation through various mechanisms.