This video demonstrates laparoscopic myomectomy for large intramural myoma. Laparoscopic myomectomy using pneumoperitoneum for large intramural myomas is considered a difficult and time-consuming procedure, requiring great skill to move a large uterus; to locate, grasp, enucleate, and remove a bulky myoma from the abdominal cavity; to achieve adequate hemostasis, and to repair the muscle layer. Laparoscopic myomectomy allows your surgeon to remove your fibroids through several small incisions. This may be done robotically. It's less invasive and recovery is faster than with abdominal myomectomy. Laparoscopic myomectomy (LM) currently brings more attention because of increased demands on uterine conservation and less invasive management of myomas. The advantages of Laparoscopic Myomectomy are shorter hospitalization, faster recovery, fewer adhesions, and less blood loss. In spite of the increasing improvements in laparoscopic instruments and techniques, advanced laparoscopic technical skills are required to perform Laparoscopic Myomectomy with success. Technical problems inherent to the removal of large uterine myomas include hemostasis, uterine closure, and removal of the uterine tissue.