목적: Teach a new procedure. 방법: The purpose of this video is to show single-port total laparoscopic hysterectomy in a patient with 6 months sized uterus and safe in bag morcellation techniques. A 1.5 cm sized skin incision on the umbilicus and punctured the fascia and peritoneum with a blade number 11. The incision size was same as women’s index finger diameter measuring smaller than 1.5cm. X-small sized Alexis wound retractor was inserted through the incision and then a surgical glove was attached to the wound retractor. I made small holes on the finger tips of the surgical glove and inserted 5 mm trocar into the 5th finger tip, 5 mm mini-port into the middle finger, 12 mm trocar into the thumb. And I made a small hole on the index finger and the hole was used as an entry port without trocar. Hysterectomy was started by ligating the utero-ovarian and round ligament with LigaSure. Then we further dissected the broad ligament and dissected the bladder while retroplexing the Rumi uterine manipulator. After tenting the bladder serosa I dissected the bladder with a monopolar cautery. And then I performed anterior colpotomy as early as possible to delineate the resection site. This anterior colpotomy indicates where to ligate the uterine vessels. After exposing the uterine vessels by dissecting the bladder and broad ligaments I ligate the uterine vessels with LigaSure. Then I completed colpotomy and then uterus was inserted in to a 3XL LapBag. The uterus was removed through the vagina with concealed cold knife morcellation in an endopouch. After removing the uterus, the vaginal cuff was closed intracorporeal continuous suture with Monosyn 1-0. 결과: We successfully completed single-port total laparoscopic hysterectomy in a patient with a extremely huge uterus. There was no specific complication. 결론: SP-TLH in patients with huge uterus was feasible in most cases using conventional laparoscopic instruments without articulated instruments.