Objective: To evaluate the association between some risk factors and recurrent inguinal hernia in the elderly. Materials and Method: An analytical case-control study was conducted in the 2002-2011 decade at the "Celia Sánchez Manduley" Hospital, of Manzanillo, Cuba. Initially, a univariate analysis was performed, factors that were statistically significant in the latter were chosen for the subsequent multivariate analysis. Results: In the univariate analysis, 11 variables were associated with inguinal hernia recurrence, except diabetes mellitus (p = 0.051). In the multivariate analysis a more adjusted model was obtained with the following variables: delay greater than or equal to 3 years for the first repair (p = 0.00), urgent surgery (p = 0.00) and sliding of the primary hernia (p = 0.00). Discussion: The delay in surgery implies that the patient is getting older and the hernia complex, increasing the risk of suffering from chronic diseases that aggravate the prognosis giving rise to hernia recurrence. On the other hand, the risks involved in carrying out surgery in complicated inguinal hernia: increased surgical time, edema and swelling of the musclefascio-aponeurotic complex, as well as the risk of infection of the operative site. In inguinal hernias slipped recurrences are more frequent, probably due to the high degree of complexity from the point of view of their repair. Conclusion: The delay greater than or equal to 3 years for the first repair, urgent surgery and the sliding of the primary hernia were associated significantly to recurrent inguinal hernia in the elderly

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