Uterine prolapse in cows is a historic topic that is well discussed in scientific veterinary literature and texts, argued at legendary proportion between practitioners, and even referenced in western poetry. The condition occurs sporadically and is recognized easily, but sometimes it is not so easily repaired. This article discusses the replacement, repair, and removal of the uterus and helpful techniques and potential complications. Because the veterinarian occasionally encounters situations where manual eversion (iatrogenic prolapse) of the uterus is helpful, particularly for efficiently repairing the traumatized uterus in the field, a technique for iatrogenic prolapse is discussed.