Background: Groin hernia is one of the most common conditions in surgical pathology. Worldwide, more than 20 million patients undergo groin hernia repair annually with a prevalence 4.6% in Africa. The purpose of this study was to describe the epidemiological, clinical and management aspects of groin hernias in the general surgery department of the regional hospital of Boke. Material and methods: This was a prospective cross-sectional descriptive study of 24 months (January 2019 to December 2020), conducted at the regional hospital of Boke, on consecutive patients who had surgery for groin hernia. Results: During these two years, groin hernias represented 19.90% (n=418) of all surgical admissions (n=2100). The mean age of the patients was 46.05 years. The male gender was the most predominant (87.08%). The average time to consultation was 36.4 months. In 17.83% of cases, the hernia was strangulated. The Bassini technique was the most used method of cure (87.56%). Morbidity was dominated by surgical site infection (26.08%), persistent groin pain (14.11%). Mortality was nil. At six months postoperative follow-up, we observed 29 recurrences (6.94%). Conclusion: Groin hernias are still a concern in our rural populations and their adequate management requires continuous training of surgical staff on tensionfree cure techniques and acquisition of prosthetic materials.