Service Encounter: There is a sensible service culture at Shouldice. Training in shoulder technique is important since the procedure cannot be changed. Patients who have undergone a hernia operation at Shouldice can return to their normal daily life much sooner than other patients who have undergone a similar operation in other hospitals. And the recurrence rate for all operations performed at Shouldice is approximately 0. The hospital's unique selling point "There is no substitute for experience." Shouldice Hospital has been dedicated to hernia repair for over 55 years. The skilled team of surgeons at Shouldice Hospital have repaired more than 300,000 hernias with a success rate exceeding 99%.