Umbilical hernia post-liver transplantation is a possibility, especially with decompensated liver disease with ascites formation. Incarceration of umbilical hernia is a complication of large-volume paracentesis (LVP) with significant morbidity and mortality in cirrhotics. We report an incarcerated umbilical hernia after LVP post-liver transplantation and was successfully managed with emergent herniorrhaphy.