Most separations of the rectus abdominis do not require surgery, and most of them can be improved by exercise. But there does still exist that small percentage, perhaps late detection, perhaps poor exercise, or symptoms such as back pain, pelvic floor dysfunction, or an umbilical hernia or white line hernia on top of the separation, that does require surgery. So if surgery is really needed, how should the surgery be done? Is the result good? Will it leave a large scar? Is it possible to solve the problem through minimally invasive surgery? Is it possible to regain the prenatal state after the surgery? Hot moms always ask a series of questions. First of all, I would like to tell you that the key point of the surgery is to solve the separation and bring the separated rectus abdominis muscles back together. There are two options for surgery, one is open surgery and the other is laparoscopic surgery, which is what we call minimally invasive surgery. The key point to be addressed in both surgeries is the separation, and both require folding and suturing of the thinned and widened midline, the difference between the two is mainly the different pathways. The earliest open surgery did, as many hot moms imagine, make a longitudinal incision in the center of the belly from top to bottom and then suture it, a large incision and scar of twenty to thirty centimeters in length does make many women feel desperate. The good thing is that at present, either open or laparoscopic, this can be not the case. Laparoscopic surgery is definitely less invasive, with a few small holes from the abdominal wall, no large wounds, and the entire operation done laparoscopically with a quick post-operative recovery. Nowadays, instead of making a longitudinal incision, the open surgery makes a transverse curved incision in the lower abdomen, which has the advantage that it is possible to perform the abdominal wall skin reshaping while solving the separation and remove the excess loose skin, but the incision is large and to repair the whole midline the whole abdominal wall skin subcutaneous tissue needs to be turned upward free, so the trauma and trauma are still quite large; the characteristics of laparoscopic surgery are exactly the same as Laparoscopic surgery is the opposite of open surgery, because only holes are made and therefore no excess skin is removed, so there is no short-term improvement in local skin appearance after surgery. Therefore, many mothers are hesitant to open or laparoscopic surgery after knowing this. But my personal opinion prefers laparoscopic minimally invasive surgery. There are several reasons for this: First, some patients with rectus abdominis separation do not have severe skin laxity and do not require further open wounds for abdominal wall reshaping. Second, laparoscopy can solve the core problem of separation with little trauma, because anatomical and functional recovery is the most important, and appearance is in second place; and the skin itself will improve six months to a year after surgery, and further exact plastic surgery can be done if you are still not satisfied, with better cosmetic results. Third, open surgery because of the large area free, and separation repair done at the same time in the case of wound problems are relatively more, once the wound complications, then the appearance can not be guaranteed. Recovery after laparoscopic surgery is quick, usually four or five days after surgery, and you can be discharged once you have resumed your daily life such as eating and getting out of bed. However, because the surgery rejoins the rectus abdominis muscle and the surgery is still quite extensive from top to bottom, there is still a period of about 3 months after surgery that requires special attention. This is because the healing of the abdominal wall repair needs these times, so during this period you need to suspend abdominal exercises, avoid factors that increase abdominal pressure such as lifting heavy objects, violent coughing, sneezing and holding stool, and use a lap band for protection when you get up. A month or so after surgery some brisk walking or jogging and slow swimming and other low-intensity moderate aerobic exercise is possible. Finally, the only mothers who need surgery are those with severe separation, those who cannot recover to within two fingers through exercise, and those with back pelvic floor symptoms and umbilical hernia. The surgery includes both open and laparoscopic methods. Most of the patients can be operated in a minimally invasive laparoscopic way, especially for those who are not too fat, do not have much excess skin and fat on the abdominal wall, and can recover to a prenatal body shape through exercise and weight loss, and recover quickly after surgery. This is relatively more invasive.