Bakri balloon is a very useful device in the management of postpartum hemorrhage which was originally produced for placenta previa cases. I agree with Matsubara [1] that removing stopcock part of the dual end vaginal portion of the Bakri balloon is useful while passing through the narrow cervix during cesarean section. Matsubara’s new method can be used in the placement of the Bakri balloon in the placenta previa with/without accreta cases and also in uterine atony cases, especially which have a narrow or nearly closed cervix ones.