Abdominal compartment syndrome (ACS) is one of the most severe complications in clinical practice, which is caused by a series of pathophysiological changes in the body due to the continuous increase of intra-abdominal pressure, thus inducing multiple organ dysfunction or failure. Various reasons can cause ACS. Herniorrhaphy, especially the repair of a vast abdominal wall hernia or a giant inguinal hernia, is one of the important predisposing factors for ACS. Still, there are few specific systematic statements or consensus opinions. This consensus focuses on the postoperative ACS of herniorrhaphy, elaborates on the related risk factors, preoperative preventive measures, intraoperative decision-making, postoperative monitoring, and ACS treatment, and puts forward the focus issues closely related to clinical settings, discusses and gives recommendations based on evidence-based medicine, so as to improve the understanding as well as the prevention and treatment ability of clinicians, especially hernia surgeons, on this condition.