Introduction. Hernioplasty is one of the most common surgical interventions worldwide. Existing hernia registries have limitations hindering scalability and timely surgical strategy adjustments. One solution to this problem is the integration of specialized forms into medical information systems. Purpose of the study: To evaluate the effectiveness of the developed registry for capturing structured clinical data and assessing the quality of life of patients with inguinal hernias. Materials and methods. An observational multicenter prospective registry study was conducted in medical centers under the Ministry of Health of a constituent entity of the Russian Federation. Structured data collection forms were developed and integrated into the medical information system to establish an automated hernia registry. The study registered patient-related and technique-related perioperative factors, as well as postoperative pain and complications. The EuraHS-QoL score was utilized to assess the quality of life. Results and discussion. A total of 46,010 records from 4,961 patients diagnosed with K40-K43 codes according to the ICD-10 classification were registered using the automated registry from February 1, 2023, to April 24, 2024. During this period, 1,370 patients were specifically diagnosed with 'inguinal hernia' (K40). The implemented approach facilitated the collection of demographic data, structured clinical information, and quality of life metrics for patients within the region through the medical information system. The automated registry also enabled the acquisition of data regarding surgical interventions and operative techniques. Additionally, information was gathered on postoperative pain levels, complications, and quality of life both at admission and at discharge. Conclusions. Utilizing the developed approach, 100% of patients who received medical care in public medical centers within the region were incorporated into the registry. The automated hernia registry serves as an effective tool for documenting perioperative factors, early outcomes, and the quality of life of patients. Continued utilization of the registry will enable the assessment of postoperative pain levels, the incidence of postoperative complications, and the quality of life following treatment, taking into account various perioperative factors.