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 44-year-old woman with PV heavy menstrual bleeding. On US she had two deep intramural fibroids affecting the endometrium and causing heavy menorrhagia.