Surgeon experience influences intraoperative efficiency and complication rates.

High-experience surgeons significantly outperform their low-experience counterparts, operating more efficiently on complex cases, with shorter intraoperative times (115.8 vs 172.9 min) and fewer complications (4.5% vs 1.8%). Low-experience surgeons handle more emergent and urgent cases, often involving older patients with greater comorbidities. Despite increased complication rates, long-term outcomes such as hernia recurrence and redo-operations are similar for both experience levels. These findings highlight the need for improved mentorship and education for less experienced surgeons.