Purpose A 76YO male patient with Crawford type 3 Thoracoabdominal aortic aneurysm (TAAA) underwent Gore Excluder Thoracoabdominal Branch Endoprosthesis (GORE TAMBE) placement via bilateral groin and right axillary exposure. Visceral arteries were successfully sequentially stented. The patient had an uneventful recovery with patent grafts at follow up. The study presents an early Australian GORE TAMBE case with technical insights and a literature review. Methodology A literature review was conducted to investigate GORE TAMBE early outcomes in TAAA repair. Search terms such as ‘GORE TAMBE’, ‘TAAA’, and ‘branched endograft’ were used across PubMed, Scopus and Google scholar. Results A multicentre study by Farber et al (1) evaluated GORE TAMBE in 102 patients with TAAA, reporting a 99% technical success rate and no aneurysm related mortality at 30 days. Major adverse events occurred in seven patients. An American study showed the device may carry a degree of technical complexity due to multi-wire usage and prolonged contrast, but demonstrated 100% success in main graft deployment and 92% success in stenting target vessels (13 patients) (2). Another single centre study with 12 patients showed 100% technical success rate and promising mid-term results including 33% reintervention rate, mostly from visceral vessel instability (3). Conclusion This study highlights the successful use of GORE TAMBE as an off-the-shelf repair for TAAA. Long term studies are essential to assess visceral branch patency and device performance. 1/ Farber MA, et al. Early outcomes from the pivotal trial of a four-branch off-the-shelf solution for complex abdominal and type IV TAAA. J Vasc Surg. 2024 2/Gomes VC et al. Gore thoracoabdominal branched endoprosthesis: early results and impressions. J Cardiovasc Surg. 2023 3/ DiBartolomeo AD et al. Three-year outcomes of off-the-shelf Gore thoracoabdominal multibranch endoprosthesis and PMEG for complex abdominal and TAAA. J Vasc Surg. 2024