Background: Ventral hernias, often associated with abdominal wall weakness and previous surgeries, pose both functional and aesthetic challenges. Lipo-abdominoplasty has emerged as a complementary approach that addresses contour deformities while reinforcing the abdominal wall. Aim of this this study was to assess the aesthetic and functional outcome following Ventral Hernioplasty & Lipo-abdominoplasty in Bangladesh. Methods & Materials: This prospective observational study was conducted at Department of Plastic Surgery, Shaheed Ziaur Rahman Medical College Hospital, Bogura, Cosmetic Surgery Centre and Eden MultiCare Hospital, Dhaka, Bangladesh, from January 2021 to December 2021. Total 30 patients who underwent combined ventral hernioplasty and lipo-abdominoplasty during the study period were included in this study. Result: The majority of patients (90%) were female, with a mean age of 35.5 years (SD±9.5 years) and a mean BMI of 24.7 ± 2.9 kg/m². Most procedures were completed in under three hours with minimal intraoperative blood loss in 73.3% of cases. Hospital stay was ≤3 days in 83.3% of patients. Incisional hernias were most common (53.3%), and the onlay mesh technique was used in all patients. Functionally, 80% resumed daily activities by day 7, and 70% returned to work within two weeks. Early complications were observed in 30% of cases, with seroma being the most common (16.7%). Conclusion: Combined ventral hernioplasty and lipo-abdominoplasty offers a safe and effective solution with favorable functional recovery, minimal complications, and enhanced abdominal aesthetics. This integrated surgical approach is particularly relevant for middle-aged, comorbid female patients and shows promising potential in resource-constrained surgical settings like Bangladesh.