Placenta percreta is a life-threatening obstetric emergency characterized by the abnormal invasion of chorionic villi into the uterine wall. Although various conservative treatment modalities have been described, hysterectomy is still a common option as life
saving procedure. In this case, surrounding resection technique with hypogastric artery ligation is described as an option in
selected cases who desire fertility. In selected cases with focal placenta percreta surrounding resection technique can be used by an experienced surgical team.