Laparoscopic totally extraperitoneal (TEP) inguinal hernia repair is an effective minimally invasive method for treating hernias that avoids entry into the abdomen. Its indications have developed and broadened over time to encompass almost the whole spectrum of groin hernias. A detailed description of the procedure is presented focusing on seven key steps. Moreover, pre- and intra-operative considerations, pearls and pitfalls are highlighted in order to maximize efficiency and safety when performing this procedure. The attached figures and accompanying narrated videos complement this manuscript by providing an audiovisual adjunct and to clarify technical and anatomical descriptions.