The study is retrospective and includes 194 patients with incisional hernia (IH). Local and general factors involved in IH pathogeny were tried to be identified, namely tactical and technical solutions for surgically solving the abdominal parietal deficiencies. Main risk factors, for the lot having been studied, are general: obesity, diabetes, cancer and local: wound suppuration, repeated surgical operations, emergency surgery, multiparity and physical effort. Simple suture and aloplastic procedures prevailed being adapted to the type of lesion, intraoperatory identified. For patients with multiple orifices different techniques were used during the same surgical operation.