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 48-year-old woman, Gr 1 P 1, with two previous myomectomies and PV bleeding. She consented to a total laparoscopic hysterectomy with conservation of her ovaries.