To The Editor: Regarding the cover photo and the “Images in Endoscopy” article and photograph in Vol. 16 Number 4, (page 410). The explanation under the photograph (Figure 1) is incorrect. This would be a “direct” inguinal hernia since the defect is medial to the inferior epigastric vessels (by definition). Indirect inguinal hernias are lateral to the inferior epigastric vessels (by definition). (Source: The Journal of Minimally Invasive Gynecology)