There are various ways a hysterectomy procedure can be performed. Generally, there are three types of hysterectomy procedures: vaginal, abdominal, and laparoscopic.

• Vaginal Hysterectomy – In a vaginal hysterectomy, the uterus is removed through the vagina. Not all women are able to have a vaginal hysterectomy. Women who have adhesions from previous surgery or who have a very large uterus may be excluded from this type of surgery. Vaginal hysterectomy generally causes fewer complications than abdominal or laparoscopic hysterectomy. Healing time may be shorter than with abdominal surgery, with a faster return to normal activities. It is recommended as the first choice for a hysterectomy when possible.

• Abdominal Hysterectomy – An abdominal hysterectomy is performed via an incision in the lower abdomen. Abdominal hysterectomy can be performed even if adhesions are present or if the uterus is very large. However, abdominal hysterectomy is associated with greater risk of complications, such as infection, bleeding, blood clots, and nerve and tissue damage. Generally, a longer hospital stay is required and needs a longer recovery time.

• Laparoscopic Hysterectomy – Laparoscopic surgery requires a very small incision (about a half-inch long) in your abdomen. A laparoscope is inserted through one of these incisions and allows the surgeons to see the pelvic organs. Laparoscopic hysterectomy surgery results in less pain, has a lower risk of infection, and requires a shorter hospital stay. You may be able to return to your normal activities sooner.