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Introduction- Morbid adherent placenta is a high-risk obstetric complication where placental tissue abnormally attaches to the uterine wall, leading to severe complications like hemorrhage. Prompt diagnosis and surgical intervention are crucial for maternal safety. Aims & Objectives- To illustrate the management approach for such a case, highlighting the technique to achieve hemostasis and avoid hysterectomy, thereby preserving reproductive potential and preventing associated complications. Materials & Methods- Presenting the case of a 35-year-old female, P3L3 with previous normal vaginal deliveries, who presented on PND-2 of home birth with retained placenta. The patient was taken to the Emergency OT for trial of Manual Removal of Placenta under general anaesthesia with arrangements of blood transfusion and emergency laparotomy made. Due to severe haemorrhage, bilateral internal iliac artery ligation was performed to achieve hemostasis. IV antibiotics, blood transfusions and ICU care was given. Results- Immediate surgical intervention with bilateral internal iliac artery ligation proved life-saving for the patient. The patient was monitored with serial imaging which confirmed gradual placental tissue reduction suggesting autolysis of the placenta. The patient recovered without requiring hysterectomy, thus avoiding major postoperative complications. Conclusions- Bilateral internal iliac artery ligation is a life-saving surgical technique used in obstetrics to control severe postpartum hemorrhage. This procedure reduces uterine blood flow, achieving hemostasis while preserving fertility and avoiding hysterectomy. This approach offers a viable alternative in similar obstetric emergencies.