Abstract
Giant Inguino-Scrotal Hernia (GISH) results and is aggravated by undue delay in seeking surgical care when an inguinal hernia develops. This poses special challenges to surgeons in rural settings. Their management in deprived rural settings has not previously been described in Ghana. A case report on the management of type 2 GISH in a 47-year-old farmer in a district hospital is described and discussed within the context of current literature.