Hi ! Good morning. I am Dr Shareef answering your query. Incisional hernias are more common in a vertical incision for a ceasserian section than in transverse incisions. Pain in the scar does not necessarily mean that you got an incisional hernia, but could be a pointer towards a increased intra abdominal pressure stretching the scar, which might in the long run result in a hernia. So if I were your doctor, I would advise you to avoid any kind of work that increases the intra abdominal pressure, get your cough treated at the earliest, avoid constipation for similar reasons, and try to reduce weight (if overweight) by regular routine exercise. In addition, you might consider wearing an abdominal binder which would give some kind of support whenever you are upright, and would protect at the time of increasing intra abdominal pressure. To know precisely if you got a recurrent hernia or not, I would advise you to get it assessed clinically by your doctor. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef.