Underwood, 33, was nominated for three awards, and she won trophies for Performance of the Year and Female Video of the Year - both for her song "Smoke Break."
She lost Video of the Year to Tim McGraw's "Humble and Kind." Underwood still holds the record for most Video of the Year wins with six. The talented singer has already won 16 trophies.
She started her performance slowly and was wearing a sheer black lace jump suit and cape but Underwood took no time in bringing the crowd to their feet. Her commanding vocals and show-stopping style left everyone mesmerized.