Introduction: A hernia is defined as an abnormal protrusion of an organ or tissue through a defect in its surrounding walls. Complications that develop in groin hernias such as irreducibility and obstruction with or without strangulation may make an easily treatable condition a life‐threatening one. A strangulated hernia has compromised blood supply to its contents. Early admission and elective surgery can avoid significant morbidity. Methods and materials: This study was conducted at Government Medical College, Srikakulam & King George Hospital on twenty patients with strangulated inguinal hernias who presented to emergency department during the period of 18 months from June 2021 to December 2022. Results: Age, sex, and side of hernia was found to be a significant risk factor and predicted complications. Site of hernia was an important risk factor and adults with femoral hernia were most likely to experience complications. Duration of hernia for more than a year proved to be the most important risk factor. Most patients with complicated hernias had not presented earlier because patients had symptomatic treatment from the quacks and presented lately to emergency department with strangulation. Mortality was low while morbidity was affected by viability of contents of the hernial sac which in turn was directly affected by duration of irreducibility, delay in and contents of the sac. Conclusion: Risk factors that are causing complicated groin hernia are elderly age, male sex, right side of hernia, indirect inguinal more than direct inguinal hernia, femoral hernia, chronic duration, delayed and small bowel as contents are factors increasing the incidence of strangulation in groin hernias. Further large prospective studies are also recommended.