This study finds that functional status post-ventral hernia repair shows initial decline, with limited improvement over time.

• Among 127 patients, functional tests worsened at 4 weeks post-op, improving significantly only in the five times sit-to-stand test by 10 weeks and plateauing by 1 year.
• Timed up and go tests did not show long-term improvement.

Track 5xSTS scores for better understanding of recovery; consider integrating targeted rehabilitation strategies to enhance outcomes.