Diastasis describes when the abdominal muscles (abs) are physically separated. This can be congenital (present from birth) or from past injury (e.g. from heavy lifting), obesity or pregnancy. This is not a hernia (when tissue, such as part of the intestine or fat, pushes through a weak spot in the abdominal wall) and thus, it does not necessarily require repair. Conservative management with weight loss and exercise are advised as a first-line treatment, even if symptoms (e.g. back pain, pelvic pain, etc.) are not present.