advice on abdominal wall reconstruction

Having multiple hernias can be difficult. It’s also so important that you correct all risk factors for hernia recurrence prior to undergoing another operation.

Yes, weight loss is critical, as it can contribute to hernia recurrence.

Correct any constipation. So important. Treat it like you would any other disease. This means you may have to take a medication daily.

Exercise to strengthen the abdominal core muscles will help you.

I agree with you: it’s so ridiculous that insurance companies only approve a same day surgery for an incisional hernia repair. Almost all of them will require a hospital stay. That is a big and complex operation. This is just the insurance company’s way of having the opportunity to deny any hospital stay. Fortunately, they usually don’t. So don’t worry. As long as your surgeon documents why you’re in the hospital that should be ok