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In this paper, the authors present a modified Rives’ technique for the treatment of incisional hernias. This technique requires the use of a non absorbable prosthesis (ComposixTM Mesh) made of a double knit layer of monofilament polypropylene 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.