A patient of mine recently pointed out an article by Mike Cantrell: The Soccer Players’ Tug of War: A Simple Understanding of Athletic Pubalgia and Sports Hernias. I read the article and two thoughts followed. First, great understanding of the structures and the dynamic opposition which occurs. Second, the point of prevention of the injury and subsequent necessity for surgery is incredibly important. This most definitively aligns with our data that 37% of the time, surgery can be avoided in the correct setting.