Surgical implant (1, 11, 51, 61, 71) for repair of a tissue or muscle wall defect comprising: - a first layer (2, 12, 52, 62, 72), the first layer having a central area and a peripheral area, and - a second layer (3, 13, 53, 64), wherein - the first layer has at least two openings (55, 63, 74) located in the peripheral area of the first layer, - the at least two openings are spaced apart from the periphery of the first layer, and characterised in that - the surgical implant further has one or more raised sections (5, 15, 54) wherein at least one of the one or more raised sections is in the first layer and wherein at least one of the one or more raised sections is in the peripheral area of the first layer, - the at least two openings located in the peripheral area of the first layer are in the raised sections of the first layer, - a part of each of the at least two openings is raised to a height of more than three times the thickness of the first layer in relation to the plane of the first layer, and - the at least two openings are sized and shaped to allow for surgical fastening of the implant to bodily tissue, wherein the at least two openings have maximum dimensions of 2 mm to 2 cm. - a first layer (2, 12, 52, 62, 72), the first layer having a central area and a peripheral area, and - a second layer (3, 13, 53, 64), wherein - the first layer has at least two openings (55, 63, 74) located in the peripheral area of the first layer, - the at least two openings are spaced apart from the periphery of the first layer, and characterised in that - the surgical implant further has one or more raised sections (5, 15, 54) wherein at least one of the one or more raised sections is in the first layer and wherein at least one of the one or more raised sections is in the peripheral area of the first layer, - the at least two openings located in the peripheral area of the first layer are in the raised sections of the first layer, - a part of each of the at least two openings is raised to a height of more than three times the thickness of the first layer in relation to the plane of the first layer, and - the at least two openings are sized and shaped to allow for surgical fastening of the implant to bodily tissue, wherein the at least two openings have maximum dimensions of 2 mm to 2 cm. wherein - the first layer has at least two openings (55, 63, 74) located in the peripheral area of the first layer, - the at least two openings are spaced apart from the periphery of the first layer, - the first layer has at least two openings (55, 63, 74) located in the peripheral area of the first layer, - the at least two openings are spaced apart from the periphery of the first layer, and characterised in that - the surgical implant further has one or more raised sections (5, 15, 54) wherein at least one of the one or more raised sections is in the first layer and wherein at least one of the one or more raised sections is in the peripheral area of the first layer, - the at least two openings located in the peripheral area of the first layer are in the raised sections of the first layer, - a part of each of the at least two openings is raised to a height of more than three times the thickness of the first layer in relation to the plane of the first layer, and - the at least two openings are sized and shaped to allow for surgical fastening of the implant to bodily tissue, wherein the at least two openings have maximum dimensions of 2 mm to 2 cm. - the surgical implant further has one or more raised sections (5, 15, 54) wherein at least one of the one or more raised sections is in the first layer and wherein at least one of the one or more raised sections is in the peripheral area of the first layer, - the at least two openings located in the peripheral area of the first layer are in the raised sections of the first layer, - a part of each of the at least two openings is raised to a height of more than three times the thickness of the first layer in relation to the plane of the first layer, and - the at least two openings are sized and shaped to allow for surgical fastening of the implant to bodily tissue, wherein the at least two openings have maximum dimensions of 2 mm to 2 cm.