Abdominal surgery is exceedingly common. General surgery, urology, gynecology, spine surgery, and bariatric surgery all have surgical procedures that require abdominal surgery. Because of this as well as the complexity of the abdominal wall, abdominal surgical complications are also common and can create both disfigurement as well as ongoing symptoms of pain. The case below is a video of a patient who developed abdominal pain and disfigurement after multiple abdominal surgeries. She had developed a pseudo-bursa which caused her abdominal pain and hernia laxity which also caused discomfort. Secondary to the above issues we decided to proceed with excision of abdominal pseudo-bursa and related scars and repair of ventral hernia without mesh.