Abstract
Bilateral Internal iiliac ligation(BIIAL) is one of the last and desperate maneuver to stop bleeding from pelvis and save life. BIIAL is usually required to control post partum haemorrage but also employed in procedures such as bleeding from pelvic tumours and fractures of pelvis. Short term Complications of this procedure are described in literature but data regarding long term complications are scarce. The possibility of long term term complications affecting quality of life particularly those concerning sexual functions has led to consider unilateral internal iliac artery ligation(UIIAL) as an option when this alone with packing of pelvis can achieve satisfactory control of bleeding.