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Introduction Total extra-peritoneal laparoscopic-assisted (TEP-lap-assisted) harvest of the deep inferior epigastric (DIE) vessels permits a decrease in myofascial dissection in DIEP flap breast reconstruction. We present a reliable technique that further decreases donor site morbidity in autologous breast reconstruction. Methods The authors conducted a retrospective cohort study of female subjects presenting to the senior surgeon from March 2018 to March 2019 for autologous breast reconstruction after a newly diagnosed breast cancer. T