There are several hernias in this region, and you must not confuse them. You will see: (1) The common true umbilical hernias of children, which rarely need surgery. (2) The much rarer paraumbilical hernias of adults through or beside the umbilicus, which usually need surgery. (3) Small and usually harmless epigastric hernias of the linea alba between the xiphoid and the umbilicus, which usually do not need surgery, but which are easy to repair if they do. (4) Hernias which follow incisions, particularly Caesarean sections.