Femoral hernias often present as emergencies (about 50%) and make up about 40% of complicated hernias, so a high rate of strangulation at first presentation is the true statement. The femoral canal is the most medial compartment of the femoral sheath (A is wrong). A truss is contraindicated (B is wrong). Surgery is always required (D is wrong), and the condition is not rare enough to ignore (E is wrong).