This lady has had 4 children and a low abdominal scar with an overhang of skin. She has a significant split in her abdominal muscles following pregnancy. In this case a number of different layers have been used to reconstruct the abdominal wall with preservation of the superficial fascia. The excess skin has been removed and the overhang removed. In this case the closure was very tight and a small vertical scar has been used at the bottom of the lower abdomen to allow the wounds to heal. This vertical scar often fades extremely well and the results are shown at three months.