An abdominal support truss. The abdominal support truss includes a first belt and a second belt. The first belt is configured to encircle a belly of the user. The second belt is configured to encircle a waist of the user. A pad is attached to an interior surface of the second belt. The pad is configured to compress and to rest against a surgical site. A ratcheting system is operably disposed on the second belt. Engagement of the ratcheting system tightens the second belt.