Hysterectomy • Vaginal – Vaginal hysterectomy is a surgical procedure to remove the uterus through the vagina. During a vaginal hysterectomy, the surgeon detaches the uterus from the ovaries, fallopian tubes and upper vagina, as well as from the blood vessels and connective tissue that support it. The uterus is then removed through the vagina. The only incision is hidden in the vagina. • Abdominal – Abdominal hysterectomy is a surgical procedure that removes your uterus through an incision in your lower abdomen. Your uterus — or womb — is where a baby grows if you’re pregnant. A partial hysterectomy removes just the uterus, and a total hysterectomy removes the uterus and the cervix. Sometimes a hysterectomy includes removal of one or both ovaries and fallopian tubes, a procedure called total salpingo-oophorectomy • Laparoscopic – You may be a candidate for a laparoscopically-assisted vaginal hysterectomy (LAVH). This procedure allows your surgeon to remove the uterus vaginally while being able to see your pelvic organs through a laparoscope, a slender viewing instrument. Your surgeon performs most of the procedure through small abdominal incisions aided by long, thin surgical instruments inserted through the incisions. Your surgeon then removes the uterus through an incision made in your vagina. Your surgeon might recommend LAVH if you have scar tissue (adhesions) on your pelvic organs from prior surgeries or from endometriosis.