Frailty is not a contraindication for elective ventral hernia repair in older adults

Severely frail patients undergoing elective ventral hernia repair (VHR) had higher odds of surgical site occurrences but similar rates of complications compared to non-frail patients. Despite lower quality of life scores at baseline, severely frail patients reported significant improvements in quality of life at 30 days and 6 months postoperatively, similar to non-frail patients. This suggests that appropriately selected older patients, even those who are severely frail, can benefit from elective VHR.