Hysterectomy is a common treatment for many benign gynecological diseases, such as fibroids and dysfunctional uterine bleeding. In recent years, with the change of medical model and the gradual improvement of people’s quality of life, surgery is not only to remove the disease, but also to preserve the physiological function of the patient and improve the quality of life after surgery. Currently, there is an increasing number of young patients who require hysterectomy who require cervical preservation. What are the benefits of preserving the cervix? What other issues should be taken into account after cervical preservation? For young patients should the cervix be preserved and should it be preserved? It is a question that our gynecologists should think about. The traditional view is that the cervix is not very useful to the human body, and preserving the cervix during hysterectomy is not very meaningful and can lead to cervicitis and even cervical cancer in the future, so total hysterectomy is mostly advocated. However, studies have found that the cervix has certain functions for women, firstly, it contains estrogen and progesterone receptors and is a target organ for estrogen and progesterone, and the mucus secreted by the ovarian estrogen can play a role in lubricating the vagina and preventing vaginal dryness after total hysterectomy; at the same time, the cervix has a supporting role for the pelvic floor, and the length of the vagina will be shortened to varying degrees after total hysterectomy. In the process of hysterectomy, the sacral ligament is severed, and some patients may experience pelvic floor laxity and even apical prolapse of the vagina, which may affect the postoperative quality of life especially in young patients. Therefore, I believe that preserving the hysterectomy of the cervix is of special interest in young patients when hysterectomy is required for benign gynecological diseases. It should be reminded that before deciding to preserve the cervix, a cancer screening of the cervix must be performed to make sure that there are no cancerous or precancerous lesions in the cervix. However, it is worth mentioning that with the change in people’s perception, especially in recent years with the widespread use of laparoscopy in gynecology, more and more patients are undergoing hysterectomy with preserved cervix, but cervical stump cancer also occurs from time to time. The main reason for this is that some of the patients who underwent hysterectomy with preservation of the cervix no longer undergo routine cervical examination because they believe that the uterus has been removed, which leads to the recurrence of cervical stump cancer several years after surgery. Therefore, as a gynecologist, while deciding to preserve the cervix for a patient, it is important to inform the patient that cervical cancer screening should still be adhered to after surgery. What if cancer or precancerous lesions occur in the preserved cervix? In our clinical work, we have come into contact with many such patients and have accumulated some experience in treatment. Firstly, as long as we insist on annual physical examination, no serious lesions will be produced, and clinical observation shows that after hysterectomy, the cancer rate of the residual cervix is significantly reduced. Secondly, if benign cervical lesions or precancerous lesions occur, transvaginal stump hysterectomy can be performed, which is simple, quick, less bleeding and less traumatic; even if cervical cancer occurs, transvaginal or trans-laparoscopic extensive hysterectomy can be performed, which is less traumatic and has quick recovery. In conclusion, for young female patients, it is still meaningful to preserve the cervix when hysterectomy is taken for benign diseases, but cervical cancer screening must be performed before surgery and patients should be informed of regular gynecological checkups after surgery.