Laparoscopic repair of Vesico-Uterine fistula is done for occasional female patients who present with Cyclical blood loss in urine in the absence of normal Menses (Youssef Syndrome). Video shows a case referred to Precision Urology for laparoscopic repair in a young woman who had a turbulent obstructed labour during first pregnancy. Laparoscopic repair requires a steep learning curve with advanced suturing skills.