Background: Benefits of same-day surgery for inguinal, femoral and umbilical hernia repair are well established, but same-day surgery is less commonly practiced than expected. There is a paucity of best-practice models delivering such care for young and fit patients in the public Australian setting. This study aims to evaluate establishment of a short-stay service to increase access and efficiency of surgical care delivery for abdominal wall and groin herniae. Methodology: Prospective cohort study enrolling since Sep 2023 at Canterbury Hospital, a secondary hospital in NSW. Short-stay hernia service established following business case approval, creation of clinic, marketing and referral pathways. Suitable patients: uncomplicated hernia, age 18-75 years, BMI <40, and without major comorbiditiy. Patients underwent laparoscopic or open hernia repair with focus on minimally invasive approach and nerve blocks where possible. Aftercare arranged at 4 and 52 weeks post-operative. Outcome measures included failed same-day discharge rate, complications, and quality-of-life (EuraHS-QoL Scale). Results: 75 new referrals reviewed. 33 patients, with median age 45 years (IQR 31, 57), mean BMI 27 (SD 5.6), median ASA II (IQR 1, 2), underwent surgery. There were 20 laparoscopic inguinal, 1 open inguinal, 7 open umbilical, and 5 open ventral hernia repairs. Significant improvement in QOL post-operative, and only 2 failed same-day discharge. Conclusions: The short-stay hernia service strengthened referral networks for underserved young functional public patients. Early experience with establishment and performance of this service is positive. Hospital logistics, facilities, staffing, and financial incentives are key to the model's success.