Case guide

UPDATED JUN 2026

Hernia Mesh Settlements — What to Expect

Part of the Hernia Mesh (Davol/C.R. Bard) investigation

The short answer

Hernia mesh mass tort settlements are structured as tiered grids based on injury severity, number of revision surgeries, and individual case factors. Understanding how settlement grids work and what factors increase your tier placement helps you evaluate your claim and avoid accepting inadequate offers.

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How Mass Tort Settlement Grids Work

Unlike individual personal injury cases where each plaintiff negotiates individually with an insurance company, mass tort settlements typically use a points-based grid system that assigns each plaintiff's claim to an injury tier and calculates a settlement amount based on that tier. The grid is negotiated between the MDL Plaintiff Steering Committee and the defendant and announced when a global settlement is reached. Each plaintiff's claim is then reviewed by a settlement administrator who assigns it to the appropriate tier based on submitted medical records.

Factors That Increase Your Settlement Tier

The factors most likely to place your claim in a higher settlement tier include: (1) Complete mesh explantation, particularly if the explantation was a complex open procedure. (2) Multiple revision surgeries — each additional surgery reflects greater complication severity. (3) Documented bowel complication — adhesion-related bowel obstruction, fistula, or bowel resection are the highest-tier injuries. (4) Sepsis or other life-threatening complications requiring ICU care. (5) Permanent disability or documented inability to return to work. (6) Documented product identification — confirmed Davol/Bard or Ethicon product with lot number. (7) Complete, organized, and well-presented medical records submitted with the Plaintiff Fact Sheet.

Medicare and Medicaid Liens in Settlement

If Medicare or Medicaid paid for any of your mesh-related medical treatment, those programs have a legal right to be reimbursed from your settlement — a process called lien resolution. Medicare liens must be resolved as a condition of settlement under the Medicare Secondary Payer Act. Plaintiffs' attorneys typically work with lien resolution specialists to negotiate Medicare and Medicaid claims down to reduce the amount recovered from your settlement. This is a standard step in all mass tort resolutions and your attorney will handle it on your behalf.

Contingency Fees in Hernia Mesh Cases

Hernia mesh attorneys work exclusively on contingency — meaning fees typically owed only from any recovery to you and fee arrangements vary by attorney. Standard contingency fees in mass tort cases range from 33 to 40 percent, with case expenses (medical record retrieval, expert witness costs, filing fees) typically advanced by the attorney and deducted from the gross settlement before the attorney percentage is calculated. Common benefit fees — a portion of each settlement that funds the MDL's shared costs including Plaintiff Steering Committee work and expert witness development — are also deducted from the gross settlement amount.

Key data

Data & Statistics

3 SOURCED FIGURES

$40K–$600K+

MDL 2846 bellwether outcomes and comparable litigations

33–40%

American Association for Justice Mass Tort guidelines

6–12 months

Mass tort administration practice

FAQ

Frequently Asked Questions

12 QUESTIONS

Hernia mesh litigation is a mass tort action against manufacturers of defective synthetic mesh implants used in hernia repair surgery. The primary defendants are Davol Inc. and C.R. Bard (now part of Becton Dickinson), Ethicon (a subsidiary of Johnson and Johnson), Atrium Medical, and Covidien (now part of Medtronic). These companies manufactured polypropylene and composite mesh devices that have been associated with serious complications including mesh migration, adhesion, infection, chronic pain, and bowel obstruction. Thousands of patients have filed claims in MDL 2846 in the Southern District of Ohio and in state court coordinations.

Dive deeper

Related Guides

11 GUIDES

The full investigation

Part of the Hernia Mesh (Davol/C.R. Bard) Investigation