Hernia (not hiatal)

Medical records that document the hernia's size — measured in at least one dimension — are central to reaching any compensable rating above 0%. Imaging reports, surgical notes, or physical examination findings that record a measurement in centimeters directly support the 10%, 20%, 30%, 60%, or 100% levels. Records must also show the hernia has been present, or has recurred, continuously for at least 12 months.

To support ratings of 20% or higher, records need to show that the hernia causes pain during specific activities. Physician examination notes, treatment records, or physical therapy records that describe pain with bending over, walking, or climbing stairs are relevant. Notes documenting difficulty with bathing, dressing, hygiene, or transfers — the activities of daily living listed in the regulation — also count.

Your own statements, or statements from people who live with you or care for you, can describe how pain during these activities affects your daily life. These statements are most useful when they tie directly to the specific activities named in the criteria — bending, walking, stair climbing, and daily living tasks — and reflect what has been consistently present for 12 months or more.