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AbstractSubsea field developments are generally recognized as having lower recovery factors than fields developed by fixed installations. To increase the recovery factor from subsea developed reservoirs, new technologies that will reduce the costs of infill drilling and allow for more cost effective well interventions, must be developed. One potential technology is Through Tubing Rotary Drilling (TTRD). However, for the industry to perform extended reach TTRD from existing subsea producers using floating rigs, the way we manage pressure must be re-evaluated. TTRD combined with Managed Pressure Drilling (MPD) will be the key technologies needed to achieve the low cost, high performance drainage points. This paper describes several MPD methods that can be combined with TTRD and how these methods can be classified, evaluated and applied.Specific results from theoretical simulations will show how two different MPD methods can be used to drill longer departure drainage points than with conventional pressure control. Successful TTRD is believed to produce low cost drainage points for a fraction of the cost of a new subsea well.