Since its initial inception in 2000, robot-assisted laparoscopic radical prostatectomy (RALP) has become the preferred surgical option for men with localized prostate cancer, effectively superseding other surgical techniques in the United States as well as select regions of Europe and Asia. Compared to conventional laparoscopic radical prostatectomy, RALP has experienced more rapid adoption by a broader range of urologists including those with limited laparoscopic training. While debate persists as to its relative superiority over open surgery, particularly concerning long-term functional and oncologic efficacy, the minimally invasive nature of RALP, along with its superior optics, three-dimensional visualization, and nuanced dexterity of the wristed instrumentation have enhanced its appeal to both patients and surgeons. The technique of RALP has undergone considerable evolution since its early description, which was based upon the original standardized approach of laparoscopic radical prostatectomy. Herein, we describe the transperitoneal posterior approach to RALP.