Infected necrotizing pancreatitis is associated with an 8-39% rate of death, with a significant portion of mortality attributed to secondary infection of pancreatic or peripancreatic necrotic tissue causing sepsis and multiple organ failure. Surgical intervention in patients presenting with infected necrotic pancreatitis has traditionally consisted of laparotomy and necrosectomy. This invasive procedure, in the setting of the profound inflammatory response patients undergo with infected necrotic pancreatitis, results in high rates of complications and death. In 2010, the Step-up Approach was published, in which less invasive techniques such as percutaneous and endoscopic drainage are utilized as first line treatment for source control. The same study advocated for use of minimally invasive retroperitoneal necrosectomy, when surgical intervention is indicated. Our group adheres to the Step-up Approach, with the objective of reducing the physiologic stress of surgical trauma, to attempt to decrease rates of both morbidity and mortality associated with infected necrotizing pancreatitis. In this video, we demonstrate our technical approach to video-assisted retroperitoneal debridement (VARD), a minimally invasive approach to surgical necrosectomy. We highlight our technique for cautious removal of necrotic tissue. Care is also taken to minimize size of fascial incision, with the goal of reducing the rate of incisional hernia post-operatively, an issue frequently seen following open necrosectomy. In addition to its advantages over an open approach, VARD also permits more expeditious removal of necrotic tissue when compared to endoscopic approaches, as we are able to utilize the same tools used during an open approach.