On postoperative day 19, the patient experienced rapid dyspnea and was diagnosed with a severe pulmonary embolus.<h4>Discussion</h4>Heparin, a tissue-type plasminogen activator, and a catecholamine were administered, and the patient recovered well.<h4>Conclusion</h4>VTE measures in minimally invasive gynecologic surgery are not well defined, and future thrombotic risk assessments specific to minimally invasive gynecologic surgery may be necessary. Here, PLAT is linked to pulmonary embolism.