An individual’s abdomen comprises of multiple layers of muscle, fat and tissue. These layers protect the organs present within the abdominal cavity, i.e. small intestine, kidneys and stomach. Stabilization of the torso and the other functions such as urination and respiration are aided by the muscles of the abdominal wall. Opening of the abdominal wall and large abdominal hernias may occur due to failure and complications of previous abdominal surgeries. Giant abdominal hernias may also occur from the existing incisional or ventral hernias. Weakening of the abdominal wall is generally caused due to the occurrence of complex hernias and recurrence of hernias. In case of giant abdominal wall hernias, certain abdominal organs and several loops of intestine reside within the hernia sac. This condition eventually reduces the space within the abdomen. In such rare cases, the abdominal wall tissues need to be reconstructed. The surgical process of restoring the functional and structural integrity of the abdominal muscles is known as abdominal wall reconstruction. The closure of abdominal opening and the recurrent hernia treatment can be achieved through a variety of techniques. The surgeon chooses the appropriate treatment option based on the exact problem.