New procedures need to be presented continuously, to show how develops locally. The procedure has been performed without difficulties in Santiago. Retrospective analysis. Four cases with strict MOM`s trial criteria have been included. Surgery was performed following the SAFER technique, without changes. This is percutaneous, four trocards and biocelulose patch use. Cases out of surgery criteria have not been operated. Four cases with neonatal outcome are presented. All were operated at 27 weeks. One case of anterior placentae. All surgeries could be completed, at a mean duration of 172 mins (150-230). All had rupture of the membranes two weeks after. Delivery occurred at 33, 36, 29 and 29 weeks. One delivered vaginally. 1 of 4 (25%) needed VP valve and two had Arnold Chiari reversal in utero. Postnatal surgery was skin closure in one case, in which latency from surgery to delivery was short (2 weeks). No other surgeries were performed. All children are in close follow-up, at home. The first case had a subsequent pregnancy, that delivered vaginally. Fetoscopic procedure for MMC repair has been feasible with the support of a more experienced team. The procedure is identical in order to lower complications. Four cases have been treated until now. Prematurity is a main concern, and maternal safety is warranted. Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.