Open surgical repair has long been considered a mainstream treatment for abdominal aortic aneurysm (AAA). Although endovascular aneurysm repair is minimally invasive and yields satisfying short-term results, there has been concerns about it's the long-term durability. Recent studies showed that laparoscopic AAA repair is a feasible technique and that the benefits of laparoscopy can be consistent with open repair. In particular, total laparoscopic AAA repair has the advantage of reducing postoperative problems in abdominal wall and intestine, and increasing the patient's respiratory recovery and general comfort. In this paper, we report a successful case of total laparoscopic AAA repair. To our knowledge, this is the first report of total laparoscopic AAA repair in Korea.