Objective: To summarize literary data dealing with neurological complications during gynecological pelvic surgery and present a case report. Design: Literary review and a case report. Setting: Department of Obstetrics and Gynecology, Medical Faculty Hospital Plzeň. Methods: Literary review of lesions of cerebrospinal nerves during gynecological pelvic surgery, case report. Conclusion: Neurological complications of pelvic surgery are usually discreet and their diagnosis is often delayed. A close cooperation with neurologists and anestesiologists is necessary.

        Key words: plexus lumbalis, plexus sacralis, paresis, paralysis, gynecological pelvic surgery