Ventral hernia is defined as a protrusion of abdominal contents through a defect in the abdominal wall. The etiology of ventral hernia formation and recurrence suggested being linked to abnormal connective tissue metabolism. As the cases of ventral hernias have mesenchymal tissue weakness, SO, all cases that have ventral hernia will be surveyed for the presence of other hernias like inguinal, femoral and hiatus hernia. This Prospective study was done at General surgery department at AL-Zahraa university hospital and Damanhour teaching hospital, included 60 cases on both sexes, from January 2023 to June 2024. statistical analysis of our study showed a significantly higher percentage of direct inguinal hernia among cases aged 40 years or more with a p-value 0.04. On the other hand, there was no significant difference with p-value >0.05 between age groups regarding associated hernia and other types of hernia. Our study showed that ventral hernia is more common in female and also common above 40 years old. Also, direct inguinal hernia is common with ventral hernia in age above 40 years in comparison to age below 40 years.