<h3>Study Objective</h3> To create a didactic video demonstrating the surgical steps of incorporating the ICG (indocyanine green) method in sentinel node lymphonodectomy in vulvar cancer. <h3>Design</h3> Sentinel lymphonodectomy is commonly advised in unifocal vulvar cancer of less than 4cm of size and without clinically suspicious groin lymph nodes. Radioactive tracer use has been considered to be mandatory with the additional optional use of blue dye. ICG improves this approach since it is easily detectable and reproducible. The video shows the minimally invasive ICG Sentinel lymph node procedure in 10 steps to aid clinicians in reproducing this technique. <h3>Setting</h3> Tertiary referral center. <h3>Patients or Participants</h3> Vulvar cancer patients suitable for Sentinel lymphonodectomy. <h3>Interventions</h3> In this video we use clips of intraoperative video footage recorded with an ICG exoscope for open surgery (Vitom-ICG, Karl Storz, Germany) with its different video modes applied. Since the Exoscope is used predominantly to capture the video sequences, most of the video shows magnified views of the operating field. Additional video clips have been inserted to show the operating room setting. <h3>Measurements and Main Results</h3> Combining ICG and radioactive tracer is useful in sentinel detection and removal in vulvar cancer patients. <h3>Conclusion</h3> The use of ICG in conjunction with Technetium radioactive tracer in Sentinel lymphonodectomy in vulvar cancer provides excellent vision of the lymph vessels and lymph nodes and allows for minimally invasive and accurate detection and preparation of the Sentinels.