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The internal iliac artery, also known as the hypogastric artery, is a major branch of the common iliac artery and plays a crucial role in the blood supply to the pelvis and its surrounding structures. This mini review provides an overview of the anatomy, function, and clinical significance of the internal iliac artery. The article discusses its branching pattern, distribution, and collateral circulation, as well as its role in various surgical procedures and potential clinical complications. Understanding the internal iliac artery is essential for healthcare professionals involved in the diagnosis and management of pelvic disorders, vascular interventions, and surgical procedures in the pelvic region.