“…According to literature, the likelihood of a patent processus vaginalis in the opposite side ranges from 20 to 70% [36,41,[49][50][51]. However, the overall presentation of a metachronous hernia in an initially asymptomatic contralateral processus vaginalis does not exceed 11.6% [41,47,48,[51][52][53][54]. Although the fact that such a percentage increases if the patient is preterm or less than 1 year of age, female, with a left-sided initial hernia, it must be underlined that the routine repair of a contralateral explored, asymptomatic patent processus vaginalis during laparoscopy or the choice to proceed to the opposite side during open surgery may result in overtreatment [42,50,53].…”