The patient is ready for surgery, and an incision is made. The external inguinal ring is exposed and the external oblique aponeurosis is split. The intertitles note that the iliohypogastric nerve is carefully preserved. The patient is under local anaesthesia, and coughs, making identifying the sac easier. The cord is isolated and the cremaster muscle and fascia are divided, exposing the sac, which is then opened. The sac is dissected free. The intertitles state that a high ligation of the neck of the sac is important.