Introduction Clinical examination remains the gold standard investigation when deciding whether repair is required. However, there lacks evidenced based recommendations on the imaging modality of choice when diagnosis is less certain (2). The aim of this study was to evaluate surgeons’ experiences regarding radiological workup- of inguinal hernias, in particular the prevalence of ultrasonography (US). Methods Surveys were sent out to surgeons from Dec 2 2019 to May 2 2020. Participation was voluntary. Data was collected using SurveyMonkey (San Mateo, Californa), and data was not re-identifiable The. Research Development and Governance Unit of Epworth Healthcare provided approval (Reference number: EH2019-456). All statistical analyses were conducted using Stata 16 (Stata Corporation, College Station, Texas, 2019). Results Questionnaires were sent to rom 71 surgeons of different specialities. 78.9% of surgeons did not find US useful in hernia evaluation. 89.9% would not recommend surgical intervention when clinical examination did not support an ultrasound suggestive of a hernia. Despite these responses, 54.8% of respondents viewed US as the most useful modality of investigation when imaging was required. Conclusions Over 75% of surgeons do not recommend ultrasound in the routine work-up of inguinal hernias. In cases where further investigation is required, US remains the modality of choice. However, the decision to utilize US may be better left to the operating surgeons themselves. 1.Simons MP, Aufenacker T, Bay-Nielsen M, Bouillot JL, Campanelli G, Conze J, et al. European Hernia Society guidelines on the treatment of inguinal hernia in adult patients. Hernia : The Journal of Hernias and Abdominal Wall Surgery. 2009;13(4):343-403.