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In this video case of 42-years-old female patient, present complaints Menorrhagia and pelvic pain since 7 to 8 months patient, diabetic under control of oral hypoglycemic. Preoperative diagnosis: Multiple fibroids. Port placement: Patient laid in modified lithotomy position under GA. Four ports laparoscopy done, all the ports are 5 mm except camera port which is 10 mm. Surgical procedure: On inserting the 10 mm 30° telescope uterus is grossly, asymmetrically enlarged with multiple fibroids, bilateral adnexa normal. Omental adhesions to the umbilicus noted adhesiolysis done using bipolar and harmonic ACE. One subserous fibroid on posterior wall removed from the base by harmonic ACE. Then TLH started. First left, then right sided ovarian ligament, round ligament and fallopian tube are freed near the uterus with harmonic ACE and Enseal PTC. Uterine artery tackled one-by-one at the level of isthmus using Enseal PTC. Colpotomy done by monopolar hook. Fibroid and uterus removed through vaginal route. Vaginal vault closure and uterosacral ligament suspension done with vicryl 1-0. Both vaginal angles taken separately. Complete hemostasis achieved. Follow-up: Patient was allowed orally after six hours and was standing up, walking around, using the washroom and starting active breathing and leg exercises. Catheter removed after 24 hours and patient discharged after she has passed urine.