Haemostasis during laparoscopic surgery is of paramount importance. This is particularly pertinent for hysterectomy or myomectomy in the setting of the large fibroid uterus or in the setting of frozen pelvis/severe endometriosis. Ligation of the uterine artery by temporary (Atrium vascular clip) or permanent (Hem-O-Lok polymer clip) means facilitates a surgical field conducive to meticulous technique. This video presentation will illustrate the surgical anatomy, the importance of adequate uterine artery exposure and clear identification of the ureter prior to placement of the vascular clip. Both permanent and temporary methods of uterine artery ligation, and some challenging situations will be demonstrated.