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 34-year-old woman with pelvic pain and heavy menstrual bleeding. A vaginal ultrasound showed a six-centimeter fibroid protruding in the endometrial cavity, as well as an endometriotic cyst in her left ovary.