Introduction <p>Incisional hernias following liver transplantation are common, particularly with bi-subcostal (Mercedes) incisions. Durable repair options and perioperative outcomes in this immunosuppressed population remain poorly defined. We analyzed outcomes following minimally invasive abdominal wall reconstruction (AWR) utilizing robotic-assisted transversus abdominis release (rTAR).</p> Methods <p>Single-center, retrospective review of a prospectively maintained series of post-liver transplant patients referred for incisional hernia repair. Adult patients undergoing elective AWR via robotic TAR between January 2018 and July 2025 were included.</p> Results <p>51 patients underwent elective hernia repair. Mean age was 61, mean BMI at repair was 29.7&#xa0;kg/m², and 65% were male. Mean time from transplant to repair was 20.8&#xa0;months (range 7–64.9 mo). At time of repair, 27.5% were on single-agent, 58.8% on dual-agent, and 13.7% on triple-agent immunosuppression. Median hernia defect size was 144 cm² (24–507 cm²) and median mesh size was 832 cm² (390–1512 cm²). Mean operative time was 363&#xa0;min and average length of stay was 3.8&#xa0;days (2–9&#xa0;days). Surgical site occurrences occurred in 4 patients (7.8%), including 2 surgical site infections. No reoperations were required. No hernia recurrences were identified at a median follow-up of 13.4&#xa0;months.</p> Conclusions <p>Robotic-assisted AWR with rTAR provides a durable and safe approach for complex post-transplant incisional hernias. Minimally invasive component separation limits wound morbidity in the setting of immunosuppression while enabling broad sublay mesh coverage. Further long-term follow-up is ongoing.</p> Graphical abstract <p></p>