EPIGASTRIC HERNIAS, as depicted above, can actually occur anywhere along the mid-line from the lower point of the breastbone down to the navel. With time, they can gradually enlarge. Surgery, as recommended by the North Penn Hernia Institute is safer, more effective and better tolerated when these hernia are small.
Note: Bulging that occurs along the entire line from the breast bone to the navel, especially when doing a "sit-up" ( and perhaps not at all evident when simply standing), may not be an Epigastric Hernia (nor even a hernia at all). Rather, this may instead represent a normal anatomic condition called Diastasis Recti. As these are not hernias, surgery is neither needed nor recommended.