In this paper, the authors present a modified Rive s’ technique for the treatment of incisional hernias. This technique re q u i res the use of a non absorbable prosthesis (ComposixT M Me s h ) made of a double knit layer of monofilament polypro py l e n e bonded with a single layer of low porosity e-PTFE insert e d behind the rectus muscles and fixed by metallic clips. The outer side (polypropylene) encourages complete host tissue incorporation to reduce recurrences, the inner side (e-PTFE) minimizes tissue attachment and, therefore, visceral complications.