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Have surgery now to repair your umbilical hernia, even if you don't have symptoms. Take a "wait and see" approach to surgery because the hernia doesn't. During umbilical hernia repair, the surgeon makes a small cut of about 2 to 3cm at the base of the belly button and pushes the fatty lump or loop of bowel back into the tummy. The muscle layers at the weak spot in the abdominal wall where the hernia came through are stitched together to strengthen them.