Direct inguinal hernia: 1. Arises medial and inferior to the epigastric artery 2. Outside the deep inguinal ring 3. Always acquired 4. Common in older men 5. Straight course 6. Strangulation is uncommon Indirect inguinal hernia: 1. Arises lateraal and inferior to the epigastric artery 2. Travels through the deep inguinal ring 3. Congenital condition 4. Common in children 5. Oblique course 6. Strangulation is common Picture credit: https://www.southlakegeneralsurgery.com/what-all-you-need-to-know-about-direct-v-s-indirect-hernias/