Background: Abdominal wall hernias are a familiar surgical problem. Millions of patients are affected each year, presenting most commonly with primary ventral, Incisional, and inguinal hernias. Whether symptomatic or asymptomatic, hernias commonly cause pain or are aesthetically distressing to patients. These concerns, coupled with the risk of incarceration, are the most common reasons patients seek surgical repair of hernias. Materials and methods: A clinical study of 50 cases of ventral hernia has been conducted during the period from July 2015 to June 2016 on patients admitted to Department of General Surgery, GMCH. Results: Ventral hernias accounted for 24.75% of all hernias.40% of ventral hernias were Umbilical hernia followed by Incisional(38%) and paraumbilical hernias(16%), Epigastric hernias(6%).Swelling was the most common complaint in 52%, followed by pain 10%, both pain and swelling 38%. Most of the Incisional hernias develops within 1st year of previous surgery. 82% of Ventral hernias were uncomplicated at the time of presentation, remaining 18 %presented with either obstruction or strangulation necessitating emergency repair. Mesh repair is the technique of choice for most of Incisional hernias and for all ventral hernias with large defect. Though sub lay/underlay mesh placement is more physiological, it can be placed either inlay or on lay. Conclusion: Laparoscopic approach for ventral hernia repair is definitely method of choice with the advantages of good operative field visibility, lessened duration of hospital stay, minimal post operative scar. Size of the defect and presence of complication are the guiding factors for choosing the type of repair