Reconstruction of the abdominal wall is of importance in many clinical situ
ations, but may require the entire spectrum of plastic and reconstructive s
urgery. Indications for particular procedures depend on the clinical situat
ion and the patient's individual profile. One has to differentiate between
life-saving primary measures and secondary corrections to improve form or f
unction. The article outlines current actual concepts of plastic surgical d
efect reconstruction with wich the general/visceral surgeon should be acqua
inted, in order to integrate these concepts into a multi-disciplinary appro
ach in pertinent clinical situations.