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. This video showcases an operation by a team of experienced surgeons who performed multiple myomectomy in a woman who seven months later conceived spontaneously. She was admitted with severe abdominal pain at 36 weeks of gestation after a fainting episode at home. Emergency ultrasound showed free fluid in the abdominal cavity with tonic uterine contraction. She underwent emergency cesarian section during which a large amount of free blood spilled trough the peritoneal incision. A live fetus was delivered in good condition. The low incision was closed, and the uterus extracted and inspected. There was a large rupture in the fundus where the fundal myomectomy had been carried out. This was repaired, and the patient recovered uneventfully. We invite you to write in the comment section below, what you think are the possible causes that could have played a part the patient’s subsequent rupture.