Whether or not to preserve the cervix for a 44 year old hysterectomy depends on the reason for the hysterectomy, if it is a benign disease the cervix can be preserved, if it is a malignant disease it needs to be removed along with the cervix if necessary. If the uterus needs to be removed due to some benign diseases, such as uterine fibroids, adenomyosis, uterine polyps, endometriosis, etc., the cervix can be preserved in this case, and the preservation of the cervix will not lead to shortening of the vagina, and it will not affect the normal sex life. If the hysterectomy at the age of 44 is performed because of endometrial cancer, and the lesion invades the interstitium of the cervix, the cervix has to be removed together with the uterus in addition to the uterus at the time of surgery, and bilateral adnexa resection, as well as pelvic and abdominal para-aortic lymph node dissection, etc., are also required. Hysterectomy at 44 years of age should be based on the specific situation to choose whether to retain the cervix, postoperative recommendations for more rest, pay attention to personal hygiene.