Prosthetic repair has become a promising method for repairing hernias. The present study try to show the benefit of open umbrella mesh repair for umbilical hernia. This is a prospective randomised study comparing umbrella mesh and Mayo’s repair for primary umbilical hernia. Children and those who needed emergency surgery were excluded. The study was conducted on 80 patients (63 females and 17 males) with age range from 18-67 years. The follow up period was 51 months. There were no statistically significant difference between both repairs in regards to operative time, hospital stay, postoperative pain and early complications. There was earlier return to activity and no recurrence in umbrella mesh repair than in Mayo’s repair. Mesh repair represent safe and effective surgical method in repairing primary umbilical hernia