There are multiple benets to the robotic surgical system when compared to con­ventional laparoscopy. Surgical visualization is enhanced by the system’s three­dimensional capabilities. The surgeon drives the camera from his or her console, thus obviating the need for an experienced laparoscopic camera driver. Furthermore, the instrumentation has fully articulating wrists, thus diminishing the constraints of traditional laparoscopic instruments. These cumulative benets result in a more ef­cient, ergonomic and exible process, allowing the surgeon to approach larger and more complex hernias in a minimally invasive fashion. There is also evidence that the robotic platform may decrease certain complications associated with traditional laparoscopic ventral hernia repair [2, 3]. The laparoscopic approach as described by Karl LeBlanc involves placement of intraperitoneal mesh without closure of the hernia defect; this has remained the most commonly performed minimally invasive approach to incisional ventral hernia repair for over two decades [4, 5]. Studies have shown that recurrence, pseudo-recurrence, or bulging occurs in 17% of these patients. Closure of the fascia laparoscopically has been described in the literature, but requires signicant technical expertise. The articulating arms of the robot allow for a more technically feasible facial closure, thereby decreasing this risk to approx­imately 0–5%. Primary fascial closure is also associated with a decrease in seroma formation from 27% to 11% [6–9].