Introduction: A disease characterized by the protrusion of part of the intestine through the abdominal muscles at the level of the navel. Many infants are born with umbilical hernia especially in Africa. Materials and Methods: We conducted a retrospective study from January 2018 to December 2020. The objectives were to determine the hospital frequency of umbilical hernia at the regional hospital of Kayes, to describe the clinical and para-clinical aspects and finally to describe the immediate aftermath of surgical treatment. Results: During the period Janvier 2018 Décembre 2020, we consulted 1108 pediatric surgery patients and performed 805 surgical procedures including 76 umbilical hernias. The umbilical hernia has re present 9 .5% of all surgical procedures, 25% of hernias in children 8.3% of hospitalizations and a hospital frequency of 6.8%. The age group of 3 to 6 years was the most represented with 40.3%, the male sex was the most represented with 59%. Conclusion: Umbilical hernia is a frequent pathology, especially in Africa, whose diagnosis is clinical.