Received: 29 October 2020
Accepted: 15 March 2021
First Online: 21 March 2021
: The ethics approval is deemed unnecessary according national regulations (Ley Reguladora de la Investigación Biomédica 9234). The survey was not a clinic research, was anonymous, opinion based, without identification markers and sent by email and social networks. The consent to participate was included in the email, and there wasn't any kind of reward, coaction or repercussion for the survey. If the consent was not given, the participant wouldn't have answered the survey. The Survey was questioned and improved in a Costa Rica Hernia Association meeting. In our country for this kind of studies we don't need legal or bioethics approval.
: The ethics approval is deemed unnecessary according national regulations (Ley Reguladora de la Investigación Biomédica 9234) and the consent for participation was not approved by an ethics committee. The results were discussed in an all-members online meeting in March 2020 and was a unanimous agreed for publication. The information is anonymous and no individual information is being shared.
: The authors declare that they have no competing interests.