An analysis of the results of a comprehensive examination and surgical treatment of 145 patients with ventral hernia and concomitant morbid obesity using a differentiated approach to the choice of the method of hernioplasty and abdominoplasty is presented. Improvement of the technical aspects of non-tension methods of hernia alloplasty with implantation of the endoprosthesis using the combined method " onlay + sublay " in combination with abdominoplasty made it possible to level the recurrence of the disease (in the comparison group, recurrence was 12.5%).