Hernia occurring after a caesarean section (C-section) is a type of intra-parietal hernia characterized by distinct aetiology and features. Furthermore, specific preventive measures apply. C-section has been performed for more than 1000 years and the technique has evolved significantly over the last century, reducing maternal morbidity and mortality (Lurie 2005; Pařízek et al. 2016). Before the introduction of the Pfannenstiel incision, a vertical infra-umbilical midline laparotomy was the standard approach allowing fast access to the uterus to deliver the baby (Dahlke et al. 2013). This approach causes minimal disruption to tissue layers and vessels and is currently regarded as the preferred method for an emergency C-section. When Hermann Pfannenstiel described the transverse incision for C-section in 1900, his main intention was to reduce hernias and improve cosmesis (Pfannenstiel 1900). The Pfannenstiel incision consists of a curved lower transverse incision 1 inch (2.5 cm) from the symphysis pubis, followed by sharp opening of the subcutaneous and anterior rectus fascia and longitudinal midline sharp entry into the peritoneum before hysterotomy. This technique became the standard incision for C-sections.