Introduction Emergency hernia repair is one of the most common emergency procedure performed by General surgeons in Australia. The study aims to show the risks and complications of emergency hernia repair in a Metropolitan Hospital in Australia. Methodology Data has been collected of all patients presenting to our facility requiring emergency hernia repair over the time period of two years. 212 patients underwent surgery for any type of emergency hernia repair. Data was analysed on hernia type, reason for emergency surgery, length of admission and representation due to post-operative complications. Results The median age of our patients was 55,5 years. The majority of patients were male (N=123/212). The largest amount of cases were umbilical hernia repairs (n=60), followed by ventral hernias (n=50), inguinal (n=40) and femoral hernias (n=20). The most common indications for emergency hernia repairs were incarceration (n=88), followed by pain (n=33) and small bowel obstruction (n=32). Only 7% of hernias had strangulation as emergency repair indication. Most of the emergency hernias required open repair by 84% (N=178/212). 147 patients were further investigated for complications after hernia repair. 13% of those patients represented post-operatively to our facility with surgery related complications (n=19). The highest complication rate was seen related to ventral hernia repair (n=5), followed by umbilical hernia repair (n=4). Less than half of patients (N=9/19) of those patients had a mesh placed at the time of hernia repair. The most common reason for re-presentation was pain (n=8), followed by wound discharge (n=4) and haematoma (n=2). 68% (N=13/19) of those patients required re-admission. 3 patients required another surgery, namely debridement, haematoma drainage and re-repair. Conclusion There is a significant risk for complications and readmission after emergency hernia repair.