This advanced laparoscopic surgery video demonstrates hysterectomy for a massive 26-week laterally enlarged fibroid uterus, one of the most technically demanding variants of laparoscopic hysterectomy. The surgeon explains how limited pelvic working space requires modifications in port placement, retroperitoneal dissection, and operative strategy. The video highlights systematic bowel mobilization, ureter identification, bladder dissection, uterine artery ligation, and early devascularization to improve surgical safety. Detailed anatomical explanations help viewers understand decision-making at every stage of the procedure. Special emphasis is placed on preventing ureteric injury and controlling intraoperative bleeding. This is an excellent educational resource for gynecologic endoscopic surgeons managing very large fibroid uteri.