The classic eTEP retromuscular ventral hernia repair is now a well-established technique(Belyansky et al SE 2017) However,there are criticisms:It entails extensive dissection,it is a difficult procedure to learn and teach,posterior sheath closure issues often lead to unnecessary TARs,posterior sheath dehiscence is a life-threatening complication,it is an excessively lengthy procedure,ergonomics is a major constraint in laparoscopy,iatrogenic injuries are not uncommon,and may create major complex hernias in place of simpler ones Conventional eTEP approaches are challenging:Linea alba breach may occur during crossover,inadvertent peritoneal breach with pneumoperitoneum,unfamiliar anatomy for the average general surgeon,difficult closure of the layers of the abdominal wall The proposed solution-a standardised approach to eTEP ventral hernia repair,with the inherent aim of making the procedure easier,faster and more reproducible for the aspiring AWR surgeon.We explain the procedure step by step and also the technical Issues and problems Our experience:We have performed 30 cases of stapled eTEP retromuscular repairs with the longest follow-up being 3 years. Average duration of procedure was 80 minutes. Mean duration of stay was 25 hours. There were two complications: one inadvertent stapling of omentum and one recurrence with chronic PRS disruption (yet to be operated upon) Conclusion:This is an interesting newer approach to AWR in simpler cases. Future studies should be focused on cadavers and high quality RCT’s to better inform aspiring AWR surgeons about the potential of this standardised technique.