Over recent decades of development, the evolution of minimally invasive techniques for hernia repair has progressed from a mere pursuit of "small incisions" to embracing the core philosophy of "minimal trauma, maximal benefit." This technical system encompasses not only innovations in tools such as laparoscopy and robotics, but also has given rise to anatomy-based repair concepts that restore abdominal wall function and promoted the refinement and integration of mesh placement layers. By enabling precise manipulation and minimizing excessive damage to the abdominal wall structure, minimally invasive hernia repair significantly reduces postoperative pain and shortens recovery time. Moreover, through the ambulatory surgery model, it optimizes the allocation and utilization of medical resources. Looking ahead, with the deepening integration of robotic-assisted technology and artificial intelligence, hernia treatment is set to enter a new phase characterized by greater precision and individualization, achieving a qualitative leap from anatomical repair to functional reconstruction.