Ventral hernias are some of the most common surgical problems that general surgeons see on a daily basis. These can range from the very simplest umbilical hernias to very complex incisional hernias. Broad knowledge regarding the management of ventral hernias is a necessity for all general surgeons both in elective practice, as well as when covering acute care surgery call. Surgical management options are detailed here, as well as common curveball scenarios and clean kill questions common on the oral boards.