Since the first published description of the laparoscopic transabdominal preperitoneal (TAPP) method of inguinal hernia repair 30 years ago, this technique has seen wide adoption among general surgeons with a penchant for minimally invasive approaches to groin hernias. TAPP affords the opportunity for diagnostic peritoneal laparoscopy prior to commencing repair. The TAPP approach also allows the surgeon to assess the viscera from within the abdominal cavity during dissection, as well as to visualize the peritoneum from the intra-abdominal perspective if needed for optimal exposure and counter-tension. Given the well-defined steps and reproducibility of the technique, as well as the breadth of anatomic exposure achieved, TAPP repair has frequently been regarded as the “port of entry” for surgeons seeking to develop their practice in minimally invasive hernia repair (Bökeler et al. Surg Endosc 27:2886–2893, 2013; Bracale et al. J Investig Surg 32:738–745, 2019). Reduction in short-term postoperative pain, earlier return to work, and less chronic postoperative pain compared to open hernia repair have all been described. The technique requires general anesthesia, however, and may not be appropriate in some individuals in whom a burden of cardiopulmonary comorbidity precludes anesthesia or peritoneal insufflation. Furthermore, as with its totally extraperitoneal (TEP) counterpart, TAPP relies on the use of prosthetic mesh for both complete and durable coverage of the myopectinal orifice.