Whether a woman with carotid vascular plaque can have a total hysterectomy depends on the degree of stability of her plaque and the narrowing of her arteries. 1. Stability of the plaque: When a woman with carotid plaque has a stable plaque, the chance of plaque dislodgement and embolization is relatively low. At this time, a total hysterectomy can usually be performed. If the plaque is unstable, it is more likely to fall off, which will lead to acute cardiovascular events, then total hysterectomy is not recommended. 2. Arterial stenosis: If the patient’s carotid artery is mildly or moderately stenotic, total hysterectomy can be performed according to the patient’s physical and mental status. If the carotid artery is severely narrowed, total hysterectomy is generally not recommended. Women who need a total hysterectomy but also have plaque in the carotid arteries will need to be evaluated by a physician to determine if the procedure can be performed.