In recent years, there have been significant advancements in the understanding of the anatomy and functional mechanics of the abdominal core. There is now a deeper comprehension of how abdominal wall defects affect human physiology and function, emphasizing preoperative optimization and postoperative abdominal wall functional rehabilitation. This has led to the concept of "Abdominal Core Health (ACH)." The definition, clinical significance, and assessment methods of ACH are becoming increasingly important for the diagnosis and treatment of abdominal wall surgical diseases. The establishment of ACH centers and registries has further promoted systematic, multidisciplinary research and summarization of abdominal wall surgical diseases. The introduction of the abdominal core health concept has expanded the breadth and depth of the field of abdominal wall surgery, and will have a positive influence on its development.