Lumbar hernias are uncommon and represent less than 2% of all abdominal hernias, they can often be misdiagnosed as masses or lipomas. We present a case of a superior lumbar hernia and the laparoscopic approach to its repair. The patient was placed in the right lateral decubitus position. Using closed technique pneumoperitoneum was created, a 12 mm port was placed in the left upper quadrant followed by two 5 mm ports on the left lower and left mid abdomen. The descending colon including the splenic flexure was mobilized and reflected medially. This revealed a hernia in the superior lumbar triangle with preperitoneal fat within it. The hernia contents and its attachments were carefully dissected and reduced. The defect edges were identified. Approximately 4 to 5 cm of peritoneum was freed of any surrounding attachments in a circumferential manner around the defect. A 10 cm circular mesh was tailored and introduced into the abdomen. The mesh was then placed with 3-4 centimeters of overlap in every direction. Absorbable tackers were used to fix the mesh circumferentially. The peritoneum dissected previously was then used to cover the mesh.