Incisional hernias make up to 80% of ventral hernias that surgeons encounter. After median laparotomy, approximately 2–20% of patients will develop an incisional hernia. In this study, we combined hernioplasty with abdominoplasty for incisional hernia repair in individuals with abdominal wall laxity. Repair was obtained with primary fascial closure and reinforcement with an onlay prolene mesh which was combined with abdominoplasty. Techniques for abdominoplasty include the use of suprapubic crease incision and the resection of excess skin and subcutaneous tissue. Skin excess can lead to both functional problems and profound dissatisfaction with appearance. Correcting excess skin could improve all these corollaires, including body image. The determination of whether a combined abdominoplasty/ hernia operation is possible will be determined by the size, type, severity of hernia, the type and complexity of abdominoplasty and surgeons experience. A combined abdominoplasty with hernioplasty has many advantages; saves money, saves time, pain, discomfort, psychologically and cosmetically better scar and avoids a second surgery.