‎ Haemorrhage from obstetric and gynaecological surgery is a major causes of morbidity and mortality. ‎Various methods have been described to treat women with intractable haemorrahage. Internal iliac artery ‎ligation (IAL) is an under used but potentially very effective technique, We described four cases where ‎the procedure was used in controlling sever pelvic haemorrhage when local surgical methods had failed. ‎