Chronic pain from nerve entrapment is one of the severest forms of groin pain syndrome. In most cases, it is an unfortunate complication of herniorrhaphy. It is essential to discriminate whether the pain resulting from nerve entrapment is of a nociceptive or neuropathic nature, as the two different situations require different treatments. In this narrative review (level of evidence IV), we consider the etiopathogenic, anatomical and clinical aspects underlying the onset of this clinical situation. Pharmacological and surgical treatments with documented evidence in the current literature will also be discussed.