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Inguinal Hernias can be repaired. Once repaired, you will not need a profile or anything else like that - you will (effectively) be just as good as people who never had a hernia.
Have your primary doc refer you to a surgeon with experience performing laparoscopic hernia repairs. You will be back to work & full activity quicker.
As others mentioned, aside from the pain a hernia can cause, the real risk is strangulation, which is a "get to a surgeon in 8 hours or die" emergency. The risk is quite small, but still greater than zero, and not getting the hernia fixed means you're rolling that die for a lifetime.
As for your back, don't know what to tell you. I knew plenty of guys in SF with bad backs who learned to work around them and still were outstanding contributors to the team. And I knew some who had to get a permanent desk job because they could never trust their back to hold up. If you can make it through SFAS without your back crapping out, you've probably figured out how to work around it <g>.
Good luck.
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Ars Longa, vita brevis
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