Background & Aims: Chronic postoperative pain is a significant and long-lasting issue faced by some patients after surgical procedures. This case report examines the interplays between chronic pain, patient experience, financial support, and socioeconomic status in a patient with a history of multiple surgeries, including hernia repair with complications, leading to persistent neuropathic pain.  

Methods: This case report describes a 43-year-old man with an incarcerated ventral hernia who underwent repair with mesh placement. The patient experienced a retained surgical item with the bulk of the mass along the right side of the abdomen. He then developed testicular ischemia resulting in orchiectomy and persistent neuropathic pain that impacted his mobility, employment, personal finances, relationships, and his holistic health and wellness. Pain management options, including physical therapy and psychotherapy, were not pursued due to financial constraints. 

Results: The patient reported sharp, constant pain along the right side of the testicle and numbness in the upper thigh suggesting genitofemoral neuralgia, likely related to ischemic or compressive effect on genitofemoral nerve. He was started on a multimodal analgesic regimen consisting of  pregabalin, duloxetine, and baclofen. Genitofemoral nerve blocks were discussed as well, but the patient was hesitant to proceed. 

Conclusions: Chronic postoperative pain can significantly impact a patient's quality of life, and the interplays between chronic pain, patient experience, financial support, and socioeconomic status can further exacerbate the issue. Pain management options must be considered for these patients, even with financial constraints, to improve their quality of life and overall health and wellness.