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Dr.Sukij Sritippayawan, Director of Charoenkrung Pracharak Hospital, and President of Bangkok Metropolitan Excellence Endoscopic Center: BMEC) said “BMEC are well known and go across on laparoscopic surgery in Thailand and abroad. This time, led by Dr. Veerapol Khemarangsan, head of BMEC joined “The 19th APAGE Annual Congress 2018 in conjunction with The 7th IGES National Congress Surabaya-Indonesia” held on Indonesia 8th-11th November 2018. Dr. Veerapol invited to be a lecturer and present live demonstration NOTES Hysterectomy (NOTES: Natural Orifice Transluminal Endoscopic Surgery). Here is the international acceptance to Thai Medical Profession in the world forum. This is the first live surgery workshop in the Asia Pacific region and takes an interest from thousand gynecologists around the world. Bangkok Metropolitan Excellence Endoscopic Center: BMEC, Charoenkrung Pracharak Hospital, Medical Service Department found on 2005, has continue progressive development until got certify from APAGE to Accredited Training Centre in Minimally Invasive Gynecology(ACMIG) on 6th-7th February 2017 and accredited by Medicine Council of Thailand to be Laparoscopic Surgery Training Institute for Obstruction on 31st May 2018. The outstanding of BMEC is the leader of NOTES Hysterectomy as the first in the ASIAN and leading level of the world. 1st International NOTES Workshop held on 25th -27th March 2018 at Charoenkrung Pracharak Hospital but this time was the first live surgery demonstration in the world forum. It can guarantee Thai Medicine Role is now in the front line and well accepted on NOTES Hysterectomy.