This Video is Level 3: To perform at this level, the surgeon should be acquainted with all instruments, have advanced hand-to-eye coordination, recognize the dangers, start focusing on hemostatic principles and safety techniques and be able to operate without supervision. Case: The patient is a 39-year-old woman with menorrhagia and a large nine centimetre myoma in the posterior uterine wall. She has had three months of GnRH analogue therapy to improve her blood count.