BACKGROUND: Incisional hernia repairs (IHRs) are not recommended in patients with severe obesity (BMI ≥ 35 kg/m METHODS: All patients planned for IHR with a BMI ≥ 35 kg/m RESULTS: Fifty-two patients in the control group were compared to 24 with GLP-1 agonists. The distribution of GLP-1 agonists was as follows: semaglutide (n = 12
50%), dulaglutide (n = 7
29.2%), and liraglutide (n = 5
20.8%). The mean initial BMI was 40.1 ± 3.6 kg/m CONCLUSION: This study demonstrated the efficacy of GLP-1 agonists in the optimization of patients with obesity, allowing two thirds of the patients to benefit from IHR, with a tendency for lower morbidity. TRIAL REGISTRATION: CPP Mediterranee, n° 21.00430.000004.