The present study was conducted for assessing short-term outcomes of Ventral Abdominal Wall Hernia Patients Operate by Extended Total Extraperitoneal Mesh Repair. Materials & methods:A total of 50 patients were enrolled. To permit instrumentation without resistance from the pelvis and thighs, the patient was positioned supine with arms at the side and stretched at the hips. Surgeons with the necessary training and experience performed each procedure. A decreased insufflation pressure allowed the flaw to be sealed. Barbed absorbable suture was used to seal the posterior rectus sheath. The defect size and the amount of space produced determined the mesh size. From one linea semilunaris to the next and from the epigastrium to the pubis, the mesh was laid flat. After the procedure, we permitted clear liquids for six to eight hours, and oral feedings the next morning. Typically, drains were not provided. In the first five days, analgesics were regularly administered. After the surgery, patients were typically discharged two to three days later. SPSS software was used to record and interpret each outcome. Results:Mean operative time was 189.4 minutes while mean defect width was 6.94 cm. mean defect area was 47.12 cm2 while mean mesh size was 568.4 cm2. Seroma formation and hematoma was seen in 2 percent of the patients each. Linea alba dehiscence and recurrence was seen in 2 percent of the patients each. Postoperative pain was seen in 4 percent of the patients. Conclusion:Despite all its limitations, Extended Total Extraperitoneal Mesh Repairis an attractive option for treating ventral abdominal hernias