The Veteran's initial evaluation for residuals of a left inguinal hernia remains at 10 percent, as the medical evidence does not show recurrence or worsening of his condition.

The Board denied the veteran's claims for a higher initial rating for left inguinal hernia and an initial compensable rating for the scar of the left inguinal hernia, as there was no evidence of recurrent hernia or a painful, unstable, or large scar.

The Board granted a 10 percent rating for the left inguinal herniorrhaphy scar but denied a compensable rating for the left inguinal hernia and a 10 percent evaluation under 38 C.F.R. § 3.324 based on multiple, noncompensable service-connected disabilities.

The Board granted service connection for degenerative disc disease with intervertebral disc syndrome of the lumbar spine, right and left lower extremity radiculopathy as secondary to DDD with IVDS, erectile dysfunction as secondary to DDD with IVDS, and special monthly compensation based on loss of use of a creative organ. The appeal was denied for service connection for depression and anxiety, obstructive sleep apnea, hypertension, hypothyroidism, left lower extremity deep vein thrombosis, right and left lower extremity peripheral edema, and inguinal hernias.

The Board denied the claims for earlier effective dates for posttraumatic stress disorder and left inguinal hernia, but granted an effective date of October 11, 2019, for right shoulder impingement syndrome and rotator cuff tendinitis. The claims for service connection for bilateral hearing loss and tinnitus were also denied.