Background: Video assisted retroperitoneal debridement (VARD) is a part of the step-up approach used in the management of certain patients presenting with necrotizing pancreatitis. Methods: A 63-year-old female with idiopathic necrotizing pancreatitis failed to improve after initial drain placement and upsizing of the drain by Interventional Radiology. The patient was taken to the operating for VARD procedure. A small incision was made next to the lower pigtail catheter. A 5mm trocar with optiview was inserted and followed along the route of the pigtail catheter till the retroperitoneal cavity was entered. CO₂ gas was insufflated and the retroperitoneal cavity was insufflated to 15 mm Hg. A 5 mm, 30-degree scope was inserted, and good visualization was achieved. A second 5mm trocar with optiview was inserted in a similar fashion. The top trocar was used to irrigate and suction the cavity. The products of debridement were removed from the cavity using a grasper. A custom fenestrated 20F Foley catheter was introduced in the retroperitoneal cavity through the laparoscopic port, which was removed. Results: The operative time for the procedure was 45 minutes. EBL was minimal. The retroperitoneal cavity was irrigated continuously for four days. The patient was discharged on post-operative day six. Conclusions: VARD is a minimally invasive procedure, which forms part of the step-up approach. Appropriate placement of preoperative drain by intervention radiology is vital as it helps in proper placement of laparoscopic ports and subsequent debridement.