<h4>Background</h4>Increasing obesity rates, GLP-1 receptor agonist adoption, and demand for body contouring procedures have created a population requiring both functional hernia repair and aesthetic abdominoplasty.<h4>Objectives</h4>To evaluate the safety and feasibility of concurrent abdominoplasty and hernia repair using a standardized approach.<h4>Methods</h4>We conducted a retrospective case series on patients undergoing simultaneous abdominoplasty and ventral hernia repair at a single academic center (2018-2024). Here, GLP1R is linked to obesity due to melanocortin 4 receptor deficiency.