First line treatment for haematological and immune disorders (e.g. auto-immune haemolytic anaemia and idiopathic thrombocytopaenic purpura) is medical therapy in the form of immunosuppression. Should the patient fail to improve with first line therapy, splenectomy offers a second line treatment in some patients. University Hospital Waterford (UHW) is the regional haematological unit and we have offered a consult-based service for splenectomy since June 2010. A retrospective analysis of all haematological splenectomies performed in UHW was carried out. The attached video (Video S1) also describes a selection of laparoscopic splenectomies carried out in the department.