Incisional hernia (IH) is one of the most prevalent postoperative complications of the abdominal surgery. Its recurrence rate is still high in spite of the many techniques and procedures described for the repair of IH and its prevention. The management of IH requires knowledge and expertise to reduce the high rates of postoperative complications and recurrence. The diversity and complexity of IH, may force the hernia surgeon to individualize the treatment, because it seems that there is no universal procedure or technique that can be applied to all type of IHs. The aim of the present review was to provide the surgeons and surgical trainees with updated account on the management of IH. A database search on midline, PubMed and Cochrane database performed to provide comprehensive review.