Hepatic herniation through an abdominal incisional hernia is an extremely rare phenomenon that has been reported in the medical literature in few case reports. It is associated with complications such as hepatic encephalopathy and Budd-Chiari syndrome. Most cases can be managed conservatively through observation, but many cases require surgical intervention to preserve liver function. Our case is a 61-year-old female who presented with herniation of the left hepatic lobe through an abdominal incisional hernia which was managed surgically.