Fertility sparing treatments are increasingly used in patients with early-stage cervical cancer. The residual shortened cervix that might lead to a risk factor of preterm birth. When a vaginal cerclage is not technically feasible, a laparoscopic transabdominal cerclage (LAC) could be offered before or after conception. In this article we show how to safely perform a post-conceptional LAC in patients with insufficient residual cervical length for vaginal cerclage. LAC in pregnancy, although made more difficult due to the size of the uterus, is a safe and feasible procedure combining the advantages of minimally invasive surgery with excellent obstetric result.