Given the high risk of complications associated with cesarean hysterectomy for placenta accreta spectrum (PAS). any surgical approach and technique can yield utility in reducing the surgical morbidity. Here. we propose the 3-2-1 approach as a schema to be implemented in the proper setting for the surgical management of a PAS cesarean hysterectomy. https://www.roneverhart.com/Clear-Zig-Zag-Pet-Gate/