Abstract Introduction Physiomesh/Securestrap system entered market in 2013 and despite its producer assurence it become a spectacular disaster, eliminating Ethicon from market and resulting in multi-milion dollar lawsuits. The biological reasons for faileure of the Physiomesh implant were partly explained in animal models. However conlusions suggested that apart from biological components failure of Physiomesh/Securestrap was mainly due to biomechanical factors. Aim Based on above assumptions we assembled a multidisciplinary team to examine the biomechanical reasons of failure of Physiomesh/Securestrap system. Material and Methods Three kinds of experiments were performed with the use of porcine model to conclude on the reasons of system failure in the natural conditions: uni-axial test of mesh samples, determination of the mesh-tissue junction force limit and mesh-staples-tissue model behaviour under high “intra-abdominal” pressure load. Results Main reason for failure of Physiomesh/Securestrap is its primary concept. Building a mathematical model describing the forces acting on the implant anchored to anterior abdominal wall demonstrated that mesh lacked proper distribution of elasticity. Despite promising preclinical studies on the rabbit and porcine model, our experiment showed that it cannot me directly translated into humans. Conclusions The results of research on the cause and mechanism of failure of the Physiomesh/Securestrap system allow to draw conclusions to avoid similar errors in the future. The findings not only to expose the cause for the failure of Physiomesh/Securestrap, but also allow to better understand the forces acting within the abdominal cavity. Optimally, this will prevent similar situations from arising in the future.