To demonstrate the utility of vaginal natural orifice transluminal endoscopic surgery, or vNOTES, in a morbidly obese patient with previous classical Cesarean section and severe abdominal adhesive disease This is multiparous two sections, one which was at 28 weeks morbid obesity BMI 50 kg/m2, who presented desiring permanent sterilization. Here stepwise demonstration vNOTES bilateral salpingect...