Introduction: Urologic complications from hysterectomy such as vesicovaginal fistula (VVF) and ureteral injury are known to occur at a rate of ∼1%. When a hysterectomy is indicated for uterine prolapse, simultaneous sacrocolpopexy can also result in a different complication, such as mesh erosion. Using the robot-assisted approach has been shown to be a favorable option when the abdominal approach is warranted in the event, ureteral reimplant is needed for ureteral orifices positioned near the fistula tract or a coexistent ureterovaginal fistula. For distal, intramural ureteral strictures, intravesical ureteral excision and mobilization can be performed, obviating the need to perform an extravesical ureteral reimplant. Methods: We present a case of a 48-year-old woman who had a robotic total hysterectomy with sacrocolpopexy performed. She developed a VVF and underwent two failed repairs; one abdominal and one vaginal, with the later causing a distal ureteral stricture not successfully managed with stenting. A robotic VVF repair was performed with an intravesical ureteral reimplant. Results: The patient had a successful repair of her VVF and excision of a distal ureteral stricture with no hydronephrosis nor incontinence. Conclusions: To our knowledge, this is the first report of robot-assisted VVF repair with excision of mesh and intravesical ureteral reimplant. The two repair attempts from her earlier surgeries likely failed secondary to incomplete removal of mesh involved with the fistula tract. The video emphasizes the importance of adherence to strict surgical principles of repair of VVF as historically documented in the literature, but also the importance for complete mesh excision. We introduce a novel surgical option of intravesical ureteral reimplant/mobilization, should the intramural ureter have injury or if it is too close to the fistula tract. The authors disclose that there are no conflicts of interest or obligations. Runtime of video: 7 mins 27 secs