Abdominal wall (Ventral) hernia is a common problem in Egypt and worldwide. For many decades abdominal wall (ventral hernias) repair represents a challenge for hernia surgeons as regards complex types and recurrence after surgical repair. Postoperative complications are recurrence of the hernia, seroma, hematoma or bleeding into the abdomen, wound infection, bowel injury or temporary decrease of bowel motility, bladder injury, urine retention, pain, heart and breathing problems and death. In our study conducted on 60 patients with non complicated ventral hernia, all hernias were repaired primarily with the use of polypropylene mesh (onlay) with the use of wound drains in 30 patients and the use of combined abdominal binder and repeated percutaneous aspiration in 30 patients. Assessment of the postoperative follow up indicators regarding the presence of significant seroma, hematoma, wound infection, postoperative pain, hospital stay, return to normal activity and patient satisfaction. In our study combined abdominal binder and percutaneous aspiration for selected cases were superior to insertion of wound drains as regards seroma formation, wound infection and postoperative return to normal activity with no significant difference as regards hematoma, postoperative pain, hospital stay and patient satisfaction. Keywords: Ventral hernia, Percutaneous aspiration, Abdominalbinder, Subcutaneous drain.