Uterine evacuation is defined as cervical dilation and the removal of uterine contents. It is a common procedure completed with either a pharmaceutical or a surgical approach. Uterine evacuation is indicated in the following circumstances: missed abortion, undesired pregnancy, molar pregnancy, intrauterine fetal demise, retained or infected products of conception, and retained placenta following vaginal delivery. While uterine evacuation is a safe procedure, the mortality rate (0.6 in 100,000) and complication rate increase with advancing pregnancy gestation.[1] When the second-trimester uterus is evacuated by pharmacologic means, complications include infection (0.1%-4.0%), hemorrhage (0.7%), uterine rupture (0.04%-0.28%), or failure to expel all products of conception (8%).[2] Complications of surgical management include infection (0.1%-4.0%), hemorrhage (0.1-0.6%), cervical laceration (3.3%), and uterine perforation (0.2-0.5%).[2] OB/GYN hospitalists are often called upon to counsel women in need of uterine evacuation and to perform or assist in this procedure, especially for emergency indications (eg, in the setting of postpartum hemorrhage due to retained placenta).