 The objective of this study was to improve clinical aesthetic results of surgical treatment of postoperative ventral hernias of inframbilico-hypoabdominal localization and hypogastric-psychotritional deformities in patients suffering obesity. Materials and methods included analysis of perioperative investigations conducted in 37 patients. The main group consisted of 26 patients who suffered postoperative ventral after lower laparotomies or laparoscopic interventions. A control group of 11 patients had soft tissue deformities without aponeurotic defects in hernias. All patients had general obesity degrees 1 to 3 and or abdominal obesity. Excision of excessive and psychotritional fibrous tissues and, if necessary, alloplasty of hernia gates was performed. Results showed that overall peri hernial excess of tissues in formatted hypogastric postoperative ventral hernias had predominant supraponderotical localization and metric characteristics determined by the hernial dimensions, emphasis of adjacent. This article was authored by V. V. Petrushenko, D. Grabenyuk, and A. O. Kot. We are article.tv. Links in the description below.