Aim of study. To reduce the rate of recurrence after diastasis suturing. Material and methods. The study included 86 female patients. Abdominal volumes and diastasis levels were assessed. The presence of diastasis of rectus abdominis was confirmed (physically and by additional instrumental research methods: ultrasound of the anterior abdominal wall and electromyography of the direct abdominal muscles). All patients were divided into 4 groups based on the level of diastasis. In group 1, aponeurosis was normal, diastasis of the direct abdominal muscles was not observed. In group 2, diastasis of the direct abdominal muscles was observed in the epigastric region (from the xiphoid process to the navel, diastasis suturing was performed in the defect region). In group 3, diastasis of the direct abdominal muscles was observed in the hypogastrium (from the umbilicus to the womb, suturing of the diastasis was performed in the defect region). In group 4, diastasis was observed in straight abdominal muscles along the entire white abdominal line (from the umbilicus to the womb, diastasis suturing was performed in the defect area). Results. The surgery utilised a differential approach to diastasis suturing depending on the level of diastasis. In the long term, there was no relapse in the relapse groups. Improvement in the functional state of the anterior abdominal wall was also noted by the patients after surgery. A year after the intervention, patients underwent a survey and indicated a significantly smaller chronic pain syndrome in the umbilical ring and white line as well as significant improvement of cosmetic satisfaction. Conclusion. Application of differential approach and additional instrumental examination in the preoperative period (ultrasound examination of the anterior abdominal wall and electromyography of direct abdominal muscles) reduces the frequency of postoperative relapse of diastasis