Hernioplasty is the most common procedure performed on surgical wards. The golden standard among the different techniques of hernia repair is the usage of mesh. It resulted in the reduction of recurrences below 1% of primary repairs. Usage of the artificial material results in less numbers of recurrences which is 1% less than primary repairs. The aim of this article was to review contemporary opinions on repair operations of an abdominal hernia. Appropriate documentation and publications were reviewed in this area. We presented the usage of new techniques in ventral hernioplasty including laparoscopic approach and the intraperitoneal usage of mesh. The presentation was based on references and our experience. Conclusions regarding the lack of treatment standards and superiority of usage of the artificial materials method were formulated accordingly.