Introduction/Background Damage of obturator nerve during laparoscopic pelvic lymphadenectomy may be a surgical complication and it is well described in literature. To keep attentive, make the diagnosis and repair the damage all at one time can be decisive to avoid severe mobility complications.

Results A 79-year-old woman attends the emergency room for vaginal bleeding. Cornier biopsy reveals a high-grade endometrioid adenocarcinoma. MRI is performed and informs of a 1b endometrial neoplasia, with a possible affection of the cervix. The woman undertakes a hysterectomy with double adnexectomy and pelvic lymphadenectomy. During the surgery, a complete section of the left obturator nerve is made with Ligasure® and it is repaired in the same surgical act with Vicryl 2/0 terminal-terminal suture. The histological examination reveals a grade 3 neoplasia with 40–50% infiltration of the myometrium. A PET-TC shows pulmonary nodules, and the surgery must be followed with chemotherapy. Attending to the obturator lesion, the patient has some difficulties in the recovery of the walking capacity and the ability to go up and down stairs, but there isn’t any sensitivity loss. It is catalogued as a good prognosis lesion.

Conclusion Minimum or very few consequences can be found after a complete section of the obturator nerve if it is well sutured in the same surgical procedure. To keep trained and to be able to diagnose that lesion can save us from further complications.

Disclosures The authors declare that they have no conflict of interest with respect to the author or publication of this article.