 [ Symptoms ] 12 year old living in jamaica was born with umbilical hernia it is the size of a lemon can should it be left alone  it causes him no pain he says it has not changed in size since he can remember and it does not effect his physical activity he is a very active kid i think i should send him for surgery but when i saw the jamaican hospital i wonder if it is best to just leave it alone what would you advise [ Disease ] get it fixed an umbilical hernia the size of a lemon has the potential of becoming incarceration trapping a loop of intestine   a medical emergency it can be a problem with sports and is cosmetically unappealing for a 12 year old boy who would rather develop six pack abs than have a big bulge on his tummy that causes unwanted attention and ridicule from other teenager a teenagers body image can be fragile so why not fix this minor problem