Associating liver partition and portal vein ligation for staged hepatectomy (ALPPS) is a highly complex operation that requires careful planning and execution. The modified anterior approach for ALPPS is a novel technique that aims to simplify the procedure while maintaining its effectiveness. This approach involves a combination of laparoscopic and open surgical techniques to achieve a more efficient and safer outcome. The long-term benefits of this approach are still being evaluated, but preliminary results suggest a significant reduction in complications and improved patient recovery times. Further research is needed to fully understand the advantages and limitations of this technique.