A cutting-edge surgical method is the enhanced-view extended completely extraperitoneal (eTEP) approach for ventral hernia repair. We give an update on this strategy and the findings from the MGH Hospital's initial experience with eTEP repair Rives-Stoppa (eTEP-RS). The eTEP-RS was used to treat 38 patients with ventral hernia between July 2019 and July 2022. The traits of the patients, the specifics of the operation, and the complications were examined. The median follow-up period was 16 months, with a range of 6-24. Twelve (31.6%) patients with primary ventral hernias and 26 (68.4%) patients with ventral incisional hernias had an eTEP-RS operation. The average size of the prosthesis was 380 cm2, and the average defect area was 21 cm2. We noted problems in four cases (10.5%); on the tenth postoperative day, one patient developed intestinal obstruction, and two patients experienced an asymptomatic seroma (Clavien-Dindo grade 1). (Clavien–Dindo grade 3B). The median hospital stay was 3.9 days (with a range of 2–6). There was no recurrence of the hernia. A practical and secure method for ventral hernia repair using minimally invasive surgery is the eTEPRS. To define patient selection and determine long-term outcomes, more research is required.