Background: Incisional hernia is defined as a diffuse extrusion of peritoneum and abdominal contents through a weak scar after an operation or accidental wound. The present study evaluated effectiveness of preperitoneal meshplasty in incisional hernia cases. Materials & Methods: 80 patients of incisional hernia of both genders underwent preperitoneal meshplasty. Parameters such as mode of presentation, type, type of incision used, time of onset after the previous surgeries and complications were recorded. Results: Out of 80 patients, males were 46 and females were 34. Swelling was reducible in 35 and irreducible swelling in 45 cases. Mode of presentation was abdominal swelling in 38 and abdominal swelling & pain in 42. Type of incision used was upper midline in 28, lower midline in 30, paramedian in 10 and umbilical port site in 12 patients. Time of onset after the previous surgeries was 0-6 months in 34, 6 months- 1 year in 16, 1-3 years in 15 and >3 years in 25 cases. The difference was significant (P< 0.05). Common risks factors were diabetes mellitus in 10, anemia in 4, obesity in 2, post-operative cough in 2 and wound infection/dehiscence in 3 cases. The difference was significant (P< 0.05). Conclusion: Preperitoneal meshplasty has been demonstrated to be a successful procedure for repairing incisional hernias with fewer post-operative problems. Preperitoneal mesh repair is convincingly and ideal surgical technique for management of incisional hernias. Key words: Incisional hernia, Preperitoneal meshplasty, dehiscence