*5.1.2.7 Cardinal ligament ligation*

Two curved forceps at the level of the internal os of the cervix are dissected and clamp the uterine artery and vein. The vessels are cut and suture ligated. Then the remaining cardinal ligament is clamped, cut, and suture ligated. These steps are repeated two or three times until reach the level of the cervicovaginal junction. The bladder and rectum are inspected to be sure they are clear of the surgical specimen. At this point, the anterior and posterior vaginal walls are exposed (**Figure 10**).
