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er ISRCTN63110516 (date of registration 03/10/2014). Namaste trial registration number ISRCTN14948133 (date of registration 04/10/2017). ACTION trial registration number ISRCTN63110516 (date of registration 03/10/2014). Namaste trial registration number ISRCTN14948133 (date of registration 04/10/2017). Inguinal hernia repair has often been used as a showcase to illustrate practice variation in surgery. This study determined the degree of hospital variation in proportion of patients with an inguinal hernia undergoing operative repair an