Since its original description by Ramirez et al., several reports have reviewed long term results and complications of component separation of abdominal parts through multi surgeon based large series of patients. This study analyzed long term results and complications in one of the largest series for this procedure. We retrospectively reviewed charts for 55 patients who underwent component separation for large, complex, or recurrent ventral hernias over a 7 year period. Data analysis identified 26 females and 29 males with an average age of 52 years, BMI of 34kg/m2, and 1.6 previous attempts for repair. The average follow up was 337 days. A total of 10 (19.2%) patients experienced skin necrosis, skin dehiscence, or minor skin infections. One patient (2%) experienced a hematoma, while 8 (15.4%) developed seromas. Recurrence was identified in 8 (15.4%) with other major complications occurring in 3 (5.7%) patients. This study provides one of the largest series of patients undergoing “component separation” and demonstrates long term results for the treatment of complex or recurrent abdominal hernias. These results are consistent with previous reports and reaffirm the benefits of this the technique over other methods.