Different stakeholders prioritize diverse outcomes after inguinal hernia repair in older adults, impacting surgical practice.

• Veterans ranked postoperative urinary retention, physical function restoration within two months, and minimizing cognitive dysfunction as key success factors.
• Surgeons also emphasized returning to normal function in two months but added avoiding inguinodynia.

Understanding these discrepancies can enhance patient-centered care and improve surgical outcomes.

• Anesthesiologists focused on preventing intraoperative pain and avoiding cognitive dysfunction, while hospital leaders considered readmission critical.