A complex literature search involves several steps: 1) Defining the research question using PICO (Population, Intervention, Comparator, Outcome); 2) Reviewing background literature such as systematic reviews, HTA reports, and specific databases; 3) Searching information resources including bibliographic databases like Medline and Embase, as well as grey literature from trial registers. The document provides details on searching Medline to find studies on vedolizumab for Crohn's disease, and emphasizes the importance of searching grey literature since many negative trials are not published.