At the pre-procedural brieng, we review our plan for local anesthetics, ketorolac administra­tion, and postoperative nausea prophylaxis with the team to ensure medications are available. Aer induction of anesthesia, we do not routinely place bladder catheters to prevent urinary tract infection and unintentional urethral injury. If the anticipated procedural length is less than 4h, we ask the patients to use the restroom just prior to their entry into the OR. As the ERAS protocol involves limiting intravenous uids during anes­thesia to prevent postoperative nausea and vomit­ing, a full bladder at the end of the case is rarely observed. Patients with extensive bladder involve­ment in a ventral hernia may require a bladder catheter which is usually removed before extuba­tion. For any patient with a le upper quadrant Veress needle entry, we will place an oral gastric tube that is removed at the end of the case. During the prepping of the operative procedure, atten­tion is paid to maintenance of normothermia with limited skin exposure, room pre-warming, and heated insuation gas. If the patient appears hypothermic, a plastic adhesive may be placed over the operative eld.