The repair of incisional and ventral hernias by the laparoscopic method is finding its place in the general surgical field. The use of tacks and transfascial sutures is commonplace. A new hernia has been identified. Two hernias have been seen following the successful repair of incisional hernias. These did not appear to be recurrent hernias as definite findings of fascial defects were present related to the tack sites themselves. This raises the question that possibilities exist that more of these "tack" hernias may be identified in the future. More research and possibly other fixation devices may prevent this entity from becoming more prevalent.