Amyand's hernia is a rare type of inguinal hernia presentation whose content is the cecal appendix, with reports of an incidence lower than 1%. Due to the low frequency in the presentation of this type of hernia, it is interesting to analyze the case of an 80-year-old male patient with a clinical case of sudden onset right inguinal pain, with CT scan compatible with a complicated right inguinal hernia. The finding of the cecal appendix in the hernial sac comes on as a surprise, where finally it was decided to perform a hernioplasty associated with an appendectomy. It is known that hernioplasty is among the most frequent procedures with standardized surgical techniques. However, in the literature, we find disagreements about the proper management of an Amyand-type hernia. Therefore, after a review of the bibliography that was motivated by the case, it is possible to consider that for the final repair of an Amyand hernia, the clinical and pathological presentation of each patient, the experience of the surgeon and the supplies available in the operating room must be taken into account for a greater benefit that will guide the best therapy for the patient.