BACKGROUND: We report two cases of vascular complications after reconstructive pelvic surgery successfully treated with pelvic artery embolization. CASES: Two patients who underwent mesh placement complicated by postoperative pelvic hemorrhage were treated successfully with selective arterial embolization. CONCLUSION: The widespread adoption of reconstructive pelvic surgery procedures with dissection in deep vascular spaces has brought with it the prospect of challenging vascular morbidity. A thorough understanding of pelvic anatomy is essential for management of vascular complications from reconstructive pelvic surgery.