Background: Rectus abdominis diastasis (RAD) is the excessive widening of the midline separation between rectus abdominis muscles, commonly seen in postpartum women and middle-aged men with central obesity. Severe cases can cause abdominal wall dysfunction and ventral hernias, necessitating surgical intervention. This report highlights a collaborative approach integrating aesthetic and functional reconstruction. Case Report: A 41-year-old woman presented with persistent abdominal bulging after her third vaginal delivery. A CT scan confirmed a 7 cm RAD with a ventral hernia. Given the need for both functional repair and cosmetic enhancement, a multidisciplinary team performed the surgery. The plastic surgery team began with an abdominoplasty incision, followed by the digestive surgeon’s laparotomy for abdominal wall reconstruction with polypropylene mesh. The procedure concluded with aesthetic refinement by the plastic surgeon. The patient recovered well, with significant symptomatic improvement and no complications. Discussion: This case emphasizes the value of an interdisciplinary approach in managing RAD with ventral hernias. Combining abdominoplasty with mesh-reinforced repair
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