Achieving good patient outcomes requires more than just a surgical technique; it involves a comprehensive approach that spans the entire continuum of care. This begins with a detailed interpretation of imaging, a deep understanding of risk stratification, and careful consideration of patient, surgical, and postoperative factors. The focus extends from preoperative preparation, including prehabilitation and optimization, to postoperative management with ERAS protocols, rehabilitation, and long-term follow-up. Intraoperatively, maintaining high standards of care involves careful consideration of fascial closure, thoughtful mesh selection with optimal plane placement, and effective soft tissue management.