The most common abdominal wall hernias described in pregnancy and women of childbearing age are inguinal, umbilical, and incisional hernias. They present similarly to non-pregnant patients, with a palpable mass that may or may not be associated with discomfort, pain, or obstructive symptoms such as nausea, vomiting, constipation, and lack of flatus. As many common signs and symptoms of pregnancy or pregnancy-related conditions are similar to this presentation, a careful history taking, a thorough exam, consideration of timing of surgery, surgical approach, and type of repair are required. Emergent hernia repair is indicated for evidence of incarceration, strangulation, erythema and tenderness, suspected perforation, or a symptomatic irreducible umbilical hernia at any gestational age. Most elective hernia repairs should be delayed until after childbirth, although there is a growing body of literature to support repairs prior to a subsequent pregnancy in certain cases. A multidisciplinary approach is necessary to optimize outcomes for the patient and her fetus.