In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Dr. Shitanshu Uppal to discuss the impact of closure of small fascial bites on incisional hernia rates in gynecologic oncology patients. Dr. Uppal is the George W. Morley Collegiate Professor of Obstetrics and Gynecology and the Division Chief of Gynecologic Oncology at the University of Michigan. Dr. Uppal is recognized for his research in surgical outcomes and quality improvement, alongside his pivotal role in leading educational initiatives for Gynecologic Oncology.   Highlights:   - This quality improvement study validates prior RCT data in gynecologic oncology population - Adoption of Small-Bite Fascial Closure Reduced Hernia rates by 50% - Obesity and adjuvant chemotherapy are independent risk factors for hernia development