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It is considered a medical emergency and can be fatal without immediate attention. This is why it's important to have regular check ups with your doctor to address any concerns. Where are Hernias Located? Hernias can affect a variety of locations in the body. However, they all primarily deal with the abdominal wall. Even when the groin or diaphragm is affected, this often affects the overall integrity of the abdominal cavity and the organs housed inside. Hernia Causes How do you get a hernia? There are numerous causes and each depends on the location of and type of hernia. Here are some of the most common general causes for hernias of all kinds: Abdominal pressure Pregnancy Injury Surgery Weakened abdominal muscles Bowel strain Obesity Risk Factors by Type of Hernia Inguinal and femoral hernias - most often caused by weakened muscles in the groin. This can be secondary to birth defects, aging, pregnancy, overexertion, or obesity. Abdominal hernias - associated with a lot of the same risk actors are inguinal and femoral hernias.