Objective: To analyze the clinical characteristics of incarcerated inguinal hernia in adults and summarize the experience in individualized treatment. Methods: The clinical data of 130 adult patients with incarcerated inguinal hernia treated in Chaohu Hospital Affiliated to Anhui Medical University from January 2011 to April 2016 were retrospectively analyzed. Results: Among the 130 cases, 2 cases refused to undergo surgical treatment and were discharged on request; 18 cases had successful manual reduction, and 10 of them received elective operation after reduction; 110 cases underwent emergency surgery that included tension-free hernioplasty (Lichtenstein) in 47 cases, McVay’s repair in 35 cases, Bassini’s repair in 12 cases and high ligation of hernia sac in 16 cases. Of the 110 patients who underwent emergency surgery, bowel necrosis was found in 13 cases. Postoperative complications occurred in 15 cases, including scrotal swelling in 6 cases, pulmonary infection in 5 cases and incision wound infection in 4 cases, and hernia recurrence occurred in 4 cases. Conclusion: During the diagnosis and management of incarcerated inguinal hernia in adults, the patients’ condition should be fully observed and comprehensively analyzed, and personalized treatment plan should be tailored to individual patient.