Study Objective To describe the surgical techniques employed to effectively excise deep infiltrating endometriosis involving the ureters and to highlight the successful re-implantation of the left ureter. Design Video presentation. Setting Academic tertiary care center. Patients or Participants This is the case of a 45-year-old G1P1001 patient with a history of chronic pelvic pain and endometriosis. She underwent previous exploratory laparotomy due to endometriosis.