Grade A	For obese patients presenting with a ventral or incisional hernia, the laparoscopic approach is preferred because it reduces the wound infection rate and complications.
Grade B	For patients with a BMI of 35 kg/m2 or higher, laparoscopic ventral and incisional hernia repairs may be preferred.
	In obese patients, the defect sizes are significantly larger, something that must be considered when the laparoscopic approach is advised.
	For obese patients (BMI ≥ 30 kg/m2) with a defect size greater than 8–10 cm, there may be a need for additional technical steps (greater mesh fixation, more overlap, suture closure of the defect) when the laparoscopic approach is indicated.