Amyand's hernia is defined as the presence of the cecal appendix inside the sac of an inguinal hernia, it is a rare entity representing 1% of the total cases of inguinal hernias. Currently, there is still controversy as to whether an appendectomy should be performed in the presence of a healthy appendix or only hernioplasty. This is a male patient with no known pathological history who reports the onset of current disease 8 years ago when, after physical exertion, he presented an increase in volume in the right inguino-scrotal region, 7 days prior to admission, the clinical picture was associated with pain of strong intensity and changes in the evacuation pattern with a tendency to constipation; Physical examination showed an increase in volume in the right inguinal region of 15x10cm that extended to the scrotal region, painful on deep palpation, partially reducible that was exacerbated by Valsalva maneuvers. Diagnosis: Right inguino-scrotal hernia, right inguinal hernioplasty was performed, evidencing the appendix within the hernia sac; therefore, apicobasal appendectomy was added to the surgical intervention. The patient was discharged in stable condition and in postoperative controls 8 and 15 days after surgery he did not present complications. Considering the intraoperative findings, Losanoff's classification was used to classify the Amyand's hernia in the present case as Type 1. According to Losanoff, the procedure would be to preserve the cecal appendix, however, an appendectomy was performed, suggesting that this procedure may reduce the risk of future surgical intervention in the patient.