Although complete internal limiting membrane (ILM) peeling is a widely used technique in epiretinal membrane (ERM) surgery, it might cause mechanical damage to the fovea. In this video, the authors introduce a new technique called "island-off" with a favorable clinical outcome. The ERM was removed in a 59-year-old woman with macular distortion. Then the island-off technique was used to remove the ILM that preserved the membrane within the 2-disc diameter from the distorted fovea and peel the remaining peripheral ILM to the vascular arcade instead. Indocyanine green biostaining was not used. The foveal structure was successfully restored and maintained with no ERM recurrence until the 18-month follow-up.