BACKGROUND.: METHODS.: RESULTS.: VHR had a 4.9% 30-day readmission rate in 2011. Deep/incisional (12.6%) and superficial site infections (10.5%) were the most common wound complications seen in readmitted patients (both P < .001), whereas sepsis/septic shock (10.14%; P < .001) was the most common systemic complication. Higher class body mass index is not associated with readmission (P = .320). Smoking and chronic obstructive pulmonary disease function as predictors of readmission independently from their association with complications (odds ratio [OR], 1.3; 95% confidence interval [CI], 1.1–1.6; and OR, 1.6, 95% CI, 1.1–2.3, respectively). Operative factors such as the use of mesh (OR, 1.3; 95% CI, 0.995–1.7) or laparoscopy (OR, 1.2; 95% CI, 0.96–1.6) do not increase likelihood of readmission. CONCLUSION.