Jon I. Einarsson, MD, MPH, Director of Minimally Invasive Gynecologic Surgery at Brigham and Women’s Hospital, performs laparoscopic abdominal cerclage for cervical insufficiency. The procedure, which provides support at the internal os of the cervix, is ideally performed before pregnancy for women who have experienced more than one cervical complication in prior pregnancy and is suitable for patients with prior failed vaginal cerclage or a short cervix ineligible for vaginal cerclage.