Abstract Background: Anterior ventral hernias included paraumbilical, umbilical, diastases recti, and incisional hernias. Retro-rectus mesh repair is good technique, but mesh fixation on periphery make technique more difficult and more invasive. In this study, through retro-rectus mesh repair the mesh fixed only in midline only and leaving mesh edges free. Patients and Methods: This study included 27 patients (17 females and 10 males) suffering from anterior ventral hernias (11 incisional hernia and 16 paraumbilical hernia with diastases recti). This patients group were subjected to open mesh repair at retro-rectus plane. Where mesh put at retro-rectus plane with fixation the mesh in midline leaving other mesh parts free. Then, the both recti are approximated in midline over the mesh with drain. Follow up period ranged from 9 to 18 months for any complications at the site of operation by clinical examination and abdominal ultrasonography. Results: The operation time ranged from 45 to 90 minutes (mean 60 minutes). The drain removed after operation by seven days. Seroma formation occurred in 7 patients, which treated by multiples aspiration. No hernia recurrence happened during period of follow up. Conclusion: Our technique for mesh repair of anterior ventral hernias is easy, less invasive, and associated with good results.