Ventriculoperitoneal (VP) shunt Insertion is a commonly undertaken neurosurgical procedure that aims to drain the excess cerebrospinal fluid (CSF) into the peritoneal cavity in cases of Hydrocephalus. The procedure is quite safe, though it can be associated with a variety of complications, notable at the abdominal site of shunt insertion such as displacement, cyst formation, hydrocele, perforation of intra abdominal organs, or extrusion. An incisional hernia may also occur. We present a rare case of an incisional hernia occurring at the abdominal site of shunt insertion and highlight the problems faced while repairing it.

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