Abstract:Laparoscopic transabdominal preperitoneal inguinal hernia repair (TAPP) is different from conventional open hernia repair because of its unique surgical visual field and anatomical plane. Through personal experience with thousands of cases of laparoscopic inguinal herniorrhaphy, the authors extracted seven main essentials in TAPP approach and abbreviated them as “seven-step maneuver”. The “seven-step maneuver” is helpful for shortening surgery learning curve by fixing the surgery scenarios and simplifying the operation. It is recommended to be used in clinical practice.