Surgical video case: although open, mesh-based, tension-free repair remains the criterion standard, laparoscopic herniorrhaphy, in the hands of adequately trained surgeons, produces excellent results comparable to those of open repair. The surgery’s efficacy is directly and closely related to the surgeon’s anatomical knowledge, skill, and experience. This work is a description of our technique, including surgical details and technical principles, as well as tips & tricks that we have found essential for an accurate laparoscopic transabdominal preperitoneal (TAPP) inguinal hernia repair. A direct hernia should be found during the dissection of this zone. The hernia sac should be mobilized by traction and counter-retraction; once the transversalis fascia is identified and grabbed, it must be separated from the hernia sac in a “pulling a rope” manner.
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