Ventral hernia repair is one of the most common general surgical operations. Recent technological advancements have seen the rapid adoption of different techniques, such as robotic ventral hernia repair. This systematic review and meta-analysis evaluated the current evidence-base on robotic ventral hernia repair to inform decision-making regarding the management of this common problem. Robotic surgery offers clinical benefits compared to the open approach through reduced intraoperative and wound complication rates, length of stay, and readmission. It is clinically comparable to the laparoscopic approach, but it is associated with significantly higher costs and longer operative time. There currently lacks strong evidence to support its use. Higher quality, long-term data is required to improve our understanding of the role of robotic surgery in ventral hernia repair.