Operating room preparation for an open incisional hernia repair requires careful planning to provide surgical efficiency and patient safety. This video serves as a learning resource for those, such as surgical technologists, who are responsible for setting up the OR before the start of a case. Topics covered include the arrangement of instrumentation, how to prepare for and complete an initial count before the surgery, and optimal placement of essential equipment and supplies. These back table setup methods enhance surgical workflow efficiency while maintaining sterility.