ABSTRACT Background: Incisional hernia is one of the most common types of the ventral hernia. It nearly complicates 4-18% of abdominal operations within 5 years follow up. In women with pendulous abdomen, a combined hernio-abdominoplasty anticipated to improve the cosmoses as well as life quality. As it is expected to reinforce the muscular bending, improve intertrigo, stead lumbar spine and decrease the postoperative drawbacks. Objective: The aim of this study is to enhance the result of incisional hernia repair and to compare the outcome of combined hernio-abdominoplasty and hernioplasty of incisional hernia in obese female with lax redundant abdomen. Patients and Methods: The present study was carried out at Zagazig University Hospitals, in the period between March 2021 and June 2022, on 80 multiparous women admitted for incisional hernia repair. Patients were divided randomly into two equal groups, the first group (A) included 40 patients corrected by hernioplasty alone, while the second group (B) corrected by concomitant hernioplasty and abdominoplasty. Results: Both time of operation and hospital stay were significantly more in the group (B). However, recurrence, infection, intertrigo, abdominal deformity and need for refashioning, were significantly complicate the patients of group (A). Although, hematoma and seroma were more common in group (B) yet, without significant difference, and the quality of life was highly improved in this group. Conclusion: A combined hernio-abdominoplasty of incisional hernia in female with pendulous abdomen, significantly improves the esthetic results and the quality of life, and can also decrease the postoperative complications.