The MultiFire Endo Hernia™ stapler is designed for introduction and use through all appropriately sized trocar sleeves or larger sized trocar sleeves with the use of a converter. The size of the staples is determined by the selection of the 4 mm or the 4.8 mm single-use loading kit (SULU). The stapler places one staple each time the handle of the instrument is squeezed. The staple legs first penetrate the tissue or mesh and then fully form, thus anchoring or approximating the tissue(s) and mesh.