A repair prosthetic for repairing a hernia is disclosed. In some embodiments, the repair prosthetic includes a patch body (22), a frame (34) that assists in spreading the patch body from a reduced configuration to an expanded configuration, and a plurality of tethers (302) attached to the patch body at locations between the frame and a periphery of the patch body. In various embodiments, the tethers can be tensioned to mitigate curling or creasing in the patch body to flatten the patch to facilitate attachment to tissue.