After nearly forty-two years in practice, this is a short summary of experience from our institution and also from other centers; and, especially, incorporating experiences from other colleagues, so that the idea is to share valuable stories, circumstances, and knowledge. Therefore, this paper may become a source of reference as an aid when working in this quite demanding medical and surgical specialty. The circumstances herein described may have occurred in many centers and institutions, and we must remember that communicating and sharing our experiences may prevent the occurrence of undesirable events. This paper is an update of a previous article that was published nine years ago. New topics that are part of our current practice have been introduced and developed. Perhaps there are not many references since this is not a strict scientific document or a rigorous research project or a paradigmatic icon in Obstetrics and Gynecology. The decision for preparing and updating this paper was based on the generous reception it achieved in different academic meetings, including symposia of the Peruvian Gynecology and Obstetrics Society, our latest National Congress; and particularly, on requests made by many dear friends and junior specialists who are so eager to learn from the experience of us, senior practitioners.