1st Vaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) is done without any incision.
![Card image cap](/fileadmin/user_upload/obs1detail1_01.png)
vNOTES is an emerging minimally invasive technique in benign gynaecologic surgery whereby surgical access to the peritoneal cavity is achieved through natural orifices. namely through a vaginal colpotomy