Incisional hernia, commonly known as “incisional hernia”, occurs after abdominal surgery when the musculotendinous tissue, which is the main support of the incision in the abdominal wall, is not well aligned due to factors such as incision infection and poor healing, resulting in the formation of a defect in the abdominal wall below the incision, through which organs or tissues such as intestines and omentum protrude out of the abdominal cavity. The intra-abdominal organs or tissues such as the intestinal canal and omentum protrude outside the abdominal cavity through such defects. In recent years, with the development of medical technology and the increase in the average life expectancy of the population, there has been an increasing number of major surgeries as well as surgeries in elderly and even senior patients, leading to an upward trend in the occurrence of incisional hernias. In terms of male-to-female ratio, incisional hernias are more common in women, as opposed to inguinal hernias, because the strength of the abdominal wall muscles is lower in women than in men. Because most patients with incisional hernias have previously undergone relatively major abdominal surgery, there is a general fear of reoperation, and these elderly patients often have other medical conditions that delay treatment. It is also common to encounter patients who do not seek treatment until they have developed a large incisional hernia that seriously affects their lives or have complications such as cardiopulmonary dysfunction or entrapment. The reason for the reluctance to operate is that many patients feel that the original surgery is already very traumatic and it would be even more difficult for the body to bear another incision in the abdominal wall. In fact, this is a misconception. The current treatment of choice for incisional hernia is not open surgery with another large incision, but minimally invasive laparoscopic surgery. The laparoscopic incisional hernia repair surgery only involves making 3-5 small holes of 5-10 mm in the abdominal wall, separating the intra-abdominal adhesions caused by the previous surgery, separating the protruding intestine and putting it back into the abdominal cavity, and then repairing the defect with a patch, which not only improves the repair effect but also reduces the surgical trauma to the patient. Patients who have undergone minimally invasive laparoscopic surgery generally feel that their recovery is much faster than that of the previous surgery. Even for some patients with large incisional hernias or heavy intra-abdominal adhesions, where it is difficult to complete all surgical steps laparoscopically, we can use the so-called “hybrid” surgical approach – that is, a combination of both open and laparoscopic methods to complete the surgery. The open incision made is much smaller than the original open incision, minimizing the trauma to the patient. It should be noted that the treatment of incisional hernia, especially giant incisional hernia, is different from that of ordinary hernia and is characterized by high surgical difficulty, high complication rate, and susceptibility to postoperative abdominal septal syndrome and cardiopulmonary failure, so extra care is needed during treatment. Therefore, we recommend that patients who have been clearly diagnosed with incisional hernia and who have undergone surgery more than six months after the previous surgery should undergo surgery as soon as their health condition allows, in order to avoid the difficulty of surgery and the possibility of complications due to the rapid increase of the defect, and let minimally invasive laparoscopic surgery help you to accept the problem of incisional hernia as soon as possible.