Acosta-Torres S, et al. - Researchers describe a step-by-step approach for laparoscopic splenectomy to treat recurrent, oligometastatic ovarian cancer. A case of recurrent, platinum-sensitive high-grade serous ovarian cancer in a 47-year-old female is reported herein. An isolated 1.5 × 1.0 cm recurrence in the splenic hilum was revealed on computer tomographic scan. For this patient, a laparoscopic secondary cytoreduction with splenectomy was planned. Through the video camera tower, the surgical procedure was recorded, and key steps for a laparoscopic splenectomy were recognized and mentioned. The emphasis was laid on perioperative as well as oncologic results, including an estimated blood loss of 100 cc, operative time of 3 h, a disease-free interval and “no evidence of disease” status post-chemotherapy at 14 months. To perform a laparoscopic splenectomy, the key steps include patient positioning, trocar placement, and knowledge of LUQ anatomy. Tumor location and size dictated splenectomy surgical approach, to a large extent. In the setting of recurrent ovarian cancer, anatomical references as well as the surgical technique for a laparoscopic splenectomy was shown in the video. The feasibility as well as the safety of laparoscopic splenectomy was shown with proper patient selection and positioning as well as meticulous surgical technique.