Mesh for laparoscopic surgery includes, in addition to self-attaching mesh, a carrier or control layer used during insertion and alignment to reduce unwanted self-attachment to tissue in or outside of the target area to be repaired. The carrier has a control surface to which the self-attaching surface of the mesh does not attach and a tissue contact surface which has limited if any attachment to tissue. The mesh and carrier may be combined to form a layered mesh insertable during limited access surgery after which the carrier may be removed by trocar. The carrier may allow a limited portion of the working mesh surface to contact tissue in the cavity and thereby improve manipulation of the mesh within the cavity and re-alignable, pre-alignment of the mesh with the target area. The carrier includes tabs for maintaining alignment with the mesh in the cavity and for gripping to realign or remove the carrier from the cavity. The carrier may be in the form of paper, plastic and/or in an envelope configuration.
