Successful surgical treatment of incisional hernias after abdominal surgery depends in part on the creation and maintenance of the sterile field. Optimal arrangement of surgical instrumentation and organization of the sterile field are important elements that can impact surgical outcomes and patient safety. This educational video covers sterile field preparation, including back table and Mayo stand arrangement, preparation for the initial surgical count with a circulator, and mesh management. This setup shown here presents how to arrange forceps by type/usages, and establish specific zones for sharps. The initial surgical count includes all sponges, sharps, and instruments according to current surgical safety guidelines. The goal of this educational video is to demonstrate how surgical technologists create and maintain the sterile field and prepare for the initial surgical count to support efficient surgical operations and patient safety.