The monograph is devoted to the description of the anatomical risk factors of hernias of the anterior abdominal wall, the surgical anatomy of hernias and the anatomical justification of the methods. operations. Own data on typical, sexual and age-related features of the topography of the anterior abdominal wall in people of different ages, healthy, and patients with hernias are given. A special chapter is devoted to changes in the topography during pregnancy and after childbirth, factors that determine the degree of these changes and affect the duration of childbirth.