Umbilical hernia surgery is a procedure that has aroused the interest of surgeons worldwide due to its high prevalence and the advancement of knowledge and techniques in abdominal wall surgery.This renewal in surgical action is addressed by the authors from an analytical and reflective stance, in order to generate a document that propitiates the understanding of this new conceptualization of the umbilical hernia in the habitual surgical activity of the surgeons.All above this is intended through the answer, contrasted with current evidence, of the following questions: How has umbilical hernia surgery evolved? What is the current status of umbilical hernia treatment? What is the role of biomaterials in abdominal wall surgery? What are the expectations regarding umbilical hernia surgery?The document adopts a perspective of surgeons, institutions and patients regarding the subject, as well as the treatment options available and applicable in our daily practice.