Surgical repair of the infrarenal aortic aneurysm is most commonly performed using a transperitoneal approach through a midline abdominal incision. Knowledge of alternative techniques in exposure of the abdominal aorta becomes quite useful in selected cases. The retroperitoneal and right retrocolic approaches offer alternatives to exposure that provide improved flexibility, particularly in juxtarenal aneurysms and in patients with a hostile abdomen. Of these, the right retrocolic approach has been less frequently described in the literature and offers the advantage of the ability to inspect the intraabdominal contents. This approach is most useful in patients with previous left colon or small bowel resection with associated adhesions. Entry into the peritoneal cavity is performed using a midline abdominal incision. Medial mobilization of the right colon and small bowel provides wide exposure of the abdominal aorta to above the level of the left renal vein. In the video case presented, repair of a large infrarenal aortic aneurysm using the right retrocolic approach is demonstrated. Familiarity of surgeons with the standard midline transperitoneal approach aids in the ease of performing the right retrocolic approach. The flexibility of this technique in providing wide aortic exposure in selected cases make it an essential component of the technical armamentarium of the surgeon treating aortic disease.