The experience with 248 operations for postoperative hernias of the abdominal wall is analyzed. Defects in the aponeurosis in 182 patients with not great hernias were eliminated by plasty with adjacent tissues. In 66 patients with extensive, giant and recurrent hernias herniatomy with skin autografts was performed. Recurrences in the first group of patients were noted in 12% of cases, in the second group--in 4,3%. The autodermal reconstruction is thought by the authors to be a promising method to improve further results of the treatment of postoperative hernias and must be given deserving attention in restorative surgery.