Adult umbilical hernias make up about 6 to 14% of all abdominal wall hernias. Surgical intervention is usually indicated when the umbilical hernia becomes symptomatic and poses a risk of incarceration. The hernia contains a stable, fibrotic hernia void that does not enlarge, rather a hernia sac that enlarges In most patients. Because the hernia sac neck is usually small compared to the hernia sac size, confinement and suffocation are ordinary. As a result, after diagnosis, an elective repair is recommended. The ideal repair approach is still controversial, and there are a lot of options. However, mesh repair has shown superiority regarding the complications and the recurrence rates. To review mesh repair’s role in umbilical hernia and to evaluate the efficacy and the techniques of this intervention. The following keys are used to select articles from the PubMed database and in the mesh (("umbilical hernia mesh repair" [mesh]) and ("efficacy" [mesh]) or ("technique" [mesh])). The use of mesh in umbilical hernia repair compared to tissue repair for primary umbilical hernia leads to a lower recurrence rate and equivalent wound complication rate. However, surgeons have to make their choice based on the magnitude of the umbilical defect.