Purpose The laparoscopic enhanced-view extraperitoneal (ETEP) technique is a novel approach to ventral hernia repair which is attracting worldwide interest. This study provides the first description of laparoscopic ETEP ventral hernia repair performed using the Human Xtensions Hand-X® instrument and aims to assess intraoperative and short-term postoperative outcomes from our early experience. Methodology 15 patients who underwent laparoscopic ETEP ventral hernia repair performed by a single surgeon between January and November 2024 at St John of God Subiaco Hospital in Perth, Australia were included in this study. Patient and hernia characteristics as well as short-term postoperative outcomes were retrospectively collected from hospital records. Results All patients included in this study had rectus divarication (mean size 51mm). Number of ventral hernia defects per patient ranged from 1 to 4 defects. 4 patients had recurrent hernias as their indication for surgery. Mean operative time was 164 minutes (range 65-209 minutes). Postoperative analgesia requirements were met with oral analgesia alone in all cases. All patients mobilised independently by postoperative day 1. Mean length of hospital stay was 1.79 days. Postoperative complications included seroma (n=1), internal hernia containing incarcerated small bowel requiring return to theatre (n=1), HandX® failure (n=1) and urinary retention (n=1). Conclusion Data reflecting our early experience performing laparoscopic ETEP using HandX® demonstrate an excellent postoperative recovery profile with minimal analgesia requirements, short lengths of stay and few complications.