Abstract Aim Describe the use of botulinum toxin A (BT) and preoperative progressive pneumoperitoneum (PPP) in a loss domain inguinoscrotal hernia following our hospital's protocol. Material methods Single case report 60-year-old male, with bilateral hernia. We performed prehabilitation respiratory physiotherapy (RP), BT PPP. applied 30 days before surgery, injecting total 500U 12 sites abdomin...