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 27-year-old woman with a history of appendectomy for an inflamed appendix at eleven years old. On ultrasound she had a cystic formation around her right ovary resembling a right hydrosalpinx.