Parastomal hernias represent a common and significant problem for patients and surgeons. Multiple surgical options exist to repair parastomal hernias, with the intraperitoneal placement of mesh or Sugerbaker repair being reported as one of the best options given decreased recurrences. Infection and erosion of permanent synthetic mesh in parastomal hernia repair is a significant concern. Biologic mesh may provide a safer approach to parastomal hernia repairs. We show a laparoscopic repair of a parastomal hernia with biological mesh using a Sugerbaker approach. Often the most challenging aspect of the operation is intra-abdominal placement of a large size mesh through laparoscopic port site, we demonstrate a novel approach to intra-abdominal placement of a substantial size of mesh and maintain a minimally invasive approach.