Femoral hernias are a rare presentation of groins hernias, but it is associated with an increased risk of complications like strangulation and obstruction. It is seen in older patients and the diagnosis is usually late. The surgical treatment of femoral hernias can be divided into open femoral hernia repairs that include the low, inguinal or preperitoneal approach. The laparoscopic methods include the transabdominal preperitoneal (TAPP) and the total extraperitoneal (TEP) repairs. As there is no consensus on what the best surgical procedure for femoral hernias is, we have conducted this review article to look at the surgical management of femoral hernias.