The identification of all the components of the hypogastric plexus is of para­mount importance to reduce the incidence of genitourinary dysfunction and injury can occur if the autonomic nerves cannot be kept under visual control during the dissection [65–68]. For this reason bleeding control is important because excessive blood in the operating field can make it very difficult to identify the nerves [13, 69]. The three-dimensional magnified High Definition view coupled with a stable camera platform offered by the da Vinci System helps in recognizing the smaller anatomical structures of the inferior hypogastric plexus and the anatomical planes, in particular during the anterior isolation of the mesorectum, which represents the most dangerous phase, where there is a high risk of lesion to the neurovascular bundle. The significant reduction of intraoperative blood loss reported may also contribute to the identification of the autonomic nerves [18, 70]. Moreover, the sta­bility and superior movements with the increased flexibility and precision of robotic arms permit a more accurate dissection, especially in narrow spaces such as the conically shaped male pelvis and reduce the risk of collateral damage to surround­ing tissues [56]. Quality of dissection and preservation of sexual and urinary func­tion are, in fact, directly related [71] (Fig. 14.4). As a mnemonic for the trainee