Traumatic abdominal wall hernia is a rare form of hernia which can develop after blunt trauma on anterior or lateral side of abdomen. Disruption of abdominal wall muscles from anterior superior ischial spine (ASIS) happens when lap portion of the seat belt gets pulled over the ASIS. The patient we discuss here was a restrained passenger of a high-speed motor vehicle collision on March 2018. She sustained multiple injuries including bilateral disruption of abdominal wall muscles from ASIS as well as buckle handle injury to small intestine and sigmoid colon requiring laparoscopic bowel resection. She required a few months to recover from those injuries in rehabilitation center. Several months later, she was brought back for hernia repair. We performed laparoscopic preperitoneal repair of those hernias. Operation was started as totally extraperitoneal repair with umbilical port. Dissection was then extended laterally in preperitoneal space. Next, we placed an epigastric port to get superior view and extend the dissection superiorly. Defects were closed with running permanent 0 v-loc suture and reinforced with polypropylene mesh. She received transverse abdominis plane block post operatively and admitted to hospital for pain control. She was discharged on hospital day 2 and did well on follow up visit.