A hernia mesh support device includes an outer ring, an inner ring and a plurality of ring support members extending between and interconnected to the outer ring and inner ring. On a first axial side of the outer ring and inner ring is situated a layer of mesh material. On a second axial side of the outer ring and inner ring is situated an anti-adhesion barrier. A plurality of barbed pins or hollow needles extend from the first axial side of the outer ring. A removable protective cover covers the plurality of barbed pins or hollow needles.