Abdominal wall defects are a complex group of con­genital anomalies with a broad spectrum of manifesta­tions and outcome. First step is evaluation of the cord insertion site in relation to the defect. The defects involving cord insertion are omphalocele, cloacal exstrophy, Pentalogy of Cantrell, abdominoschisis and body stalk anomaly. Omphalocele as an isolated defect has good prognosis. In cloacal exstrophy, the associated defect is inferior and in Pentalogy of Cantrell, the defect is superior. The defects with intact cord insertion are gastroschisis and bladder exstrophy. Absent urinary bladder is a nding in both bladder and cloacal exstro­phy. Fixed fetal position and undenable anatomic parts are hallmarks of abdominoschisis due to Amniotic Band syndrome and Body Stalk Anomaly. Recognition of more complex AWDs is vital in pregnancy counselling and management.