Brought to you by the Society of Gynecologic Surgeons. A 26-year-old woman developed persistent pelvic pain after undergoing hysteroscopic sterilization. She underwent vaginal hysterectomy and laparoscopic salpingectomy, during which only 1 micro-insert was located. This video illustrates management of a misplaced intraperitoneal hysteroscopic sterilization micro-insert using fluoroscopy, and includes information about when the use of fluoroscopy is applicable, how to perform it, and what to expect from the procedure.