Incisional hernia is a rare complication of anterior lumbar interbody fusion . This 75-year-old female patient was diagnosed with an incisional hernia 8 months after an anterior lumbar interbody fusion surgery for degenerative spondylolisthesis with spinal stenosis at L4–L5. Computed tomography scan obtained during a Valsalva maneuver can aid in the diagnosis of incisional hernia , as it did in this patient (). (Source: The Spine Journal)