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Obesity is a risk factor for ventral hernia development and affects up to 60% of patients undergoing ventral hernia repair. It is also associated with a higher rate of surgical site occurrences and an increased risk of recurrence after ventral hernia repair, but data is lacking on the differences between obesity classes. Between 2008 and 2018, 322 patientswith obesity underwent laparoscopic ventral hernia repair in our department class I n = 231 (72%), II n = 55 (17%), III n = 36 (11%). We compared short and long-term outcomes between t