Recently, minimal access surgery for ventral hernias has gained popularity. However, there are still a number of problems that need to be addressed, such as ergonomics, longer learning curves, tactile feedback, seroma formation, recurrence, and postoperative pain. The objective of the study is to analyse the ergonomics, outcomes, complications and patient compliance following surgery with two-port laparoscopic intra peritoneal onlay mesh repair using composite mesh. The source of data for this study were patients admitted under the General Surgery, Department at SSIMS & RC Davangere from December 2022 to November 2024. A total of 32 patients diagnosed with ventral hernia are included in the study. Patients are posted for the laparoscopic IPOM or IPOM plus. For the methodology, the study employed a prospective observational design. The mean age of the patients is 46 ± 15 years, 24 females (68.75%) & 10 males (31.25%) presented with ventral hernia. Out of 32 cases performed, with mean operating time of 50.3 ± 10.46 min. Among complications, post op mesh bulge (40%), seroma formation (30%), wound infection (10%), bowel perforation (0%) & conversion rate (0%) are noted. No new surgical complications noted in this technique. On analysing this study, it is noted that two port technique had a better ergonomics, reduced mean operative time, reduced complications but difficult learning curve.