Laparoscopic ventral hernia and incisional hernia repair has now become a standard technique. However, the disadvantage of this technique is the contact between the mesh and tacks and the viscera. The objective of this article is to describe totally laparoscopic extra-peritoneal ventral and incisional hernia repair to avoid this problem. We developed a reverse Dulucq’s technique for laparoscopic inguinal hernia repair described as Reverse Totally Laparoscopic Extra-Peritoneal ventral hernia repair (R-TEP).