"Living with a Hernia" is a song by "Weird Al" Yankovic. It is a parody of "Living in America" by James Brown, from the film Rocky IV. The song mostly describes the terrible "aggravation" and "back pain" that a hernia causes. The narrator himself claims to be suffering from a hernia, and that he's "Got to have an operation".

"Living with a Hernia" is a spoof of "Living in America" by James Brown (which was also the theme to the 1985 film Rocky IV). As the title suggests, it is about hernias. When it came time to pick a song to parody as the lead single for Polka Party! Scotti Brothers Records "had some very strong ideas" and wished to have Yankovic parody a musician who was signed on the same label. After "Living in America" became a hit, the record label insisted that Yankovic parody the song, to which Yankovic obliged. In order to accurately write the song, Yankovic researched the various types of hernias. On August 4, 1986, Yankovic began recording parodies starting for Polka Party!, starting with "Living With a Hernia".

The single received mostly mixed reviews. Eugene Chadbourne of AllMusic was critical of the parody, and wrote that "'Living in America' in its original version has all the overblown grandeur needed to make a good parody target, but 'Living With a Hernia' just isn't funny." Christopher Thelen of the Daily Vault succinctly noted that "Yankovic even falls flat tackling" Brown with this parody. Not all reviews were negative, however. Keith Thomas of The Atlanta Journal-Constitution called the single "a comical classic", praising Yankovic's lampooning of Brown's stage performance. He was particularly pleased with Yankovic naming specific types of hernias as opposed to cities in the United States. He concluded that, "Some people say Weird Al's appeal will wear out [but] I beg to differ."

Yankovic noted that "it was a real thrill to do James Brown. I'm a total non-dancer, never went to any dances in high school, but if I analytically dissect a dance routine I can figure it out." A choreographer named Chester Whitmore was hired to accurately create the dance scenes featured in the video, which was shot on the concert set actually used in the movie Rocky IV.

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