The pars plana AGV is indicated in all kinds of refractory glaucomas with a compromised endothelial count as it reduces the risk of corneal decompenzation because of tube cornea touch. These include aphakic, neovascular, post-penetrating keratoplasty, postvitrectomy, inflammatory and post-traumatic glaucomas. Surgical technique, corneal traction suture, conjunctival flap, priming the AGV, suturing the AGV, trimming the tube, and tube insertion are discussed. Patch graft, suturing the flap, AC paracentesis, infusion, triamcinolone assisted vitrectomy, and advantages of triamcinolone assisted vitrectomy are explained. Review of literature is presented.