When to consider surgery
- A midline bulge when sitting up or straining.
- A gap larger than 2–3 cm that does not improve after specialized physiotherapy.
- Diastasis combined with an umbilical or epigastric hernia.
- Related lower-back pain, core weakness or functional discomfort.
How it is treated
- Diagnosis is confirmed by physical exam and, if needed, an abdominal-wall ultrasound.
- Pelvic-floor and core physiotherapy is the first step in most cases.
- Surgery brings the muscles together with sutures (plication) and adds mesh when a hernia is present.
- Waiting at least 6–12 months after the last pregnancy is recommended.
Typical recovery
- Hospital stay
- 0–1 night
- Abdominal binder
- Several weeks, as directed
- Desk work
- 1–2 weeks
- Core exercise
- Gradually from week 6
Frequently asked questions
Is diastasis recti a hernia?
Not exactly: there is no hole, just a weakened midline. However, it often coexists with umbilical hernias.
Can I have more children after surgery?
Yes, though a later pregnancy can separate the muscles again, so surgery is best once no more pregnancies are planned.
Information on this site is educational and does not replace a medical consultation. In an emergency, go to the nearest emergency room.