Postpartum hemorrhage (PPH) remains a leading cause of maternal morbidity and mortality worldwide, despite significant advances in obstetric care. Managing severe PPH effectively requires prompt decision-making and expertise in life-saving techniques. Internal iliac artery ligation (IIAL) is a critical surgical intervention that has proven to be highly effective in controlling intractable hemorrhage while preserving future fertility. This manual is designed to serve as a comprehensive guide for practitioners seeking to master the management of PPH, with a particular emphasis on the application of internal iliac artery ligation. Central to this approach is the innovative use of Chavan’s Internal Iliac Artery Ligation Forceps (CIIALF), a groundbreaking instrument that simplifies the technical challenges of IIAL, enhances precision, and reduces procedure time. The CIIALF has revolutionized the management of PPH, making this life-saving procedure more accessible and efficient for practitioners worldwide.