Removal of the uterus in the elderly may have sequelae such as decreased pelvic floor support, recurrent vaginal bleeding and psychological damage. 1. Decreased pelvic floor support ability: removing the uterus requires removing more ligaments in the pelvic floor, such as the main ligaments and the uterosacral ligaments, etc. Decreased support ability of the pelvic floor can lead to pelvic floor dysfunction, resulting in prolapse of the anterior and posterior walls of the vagina and prolapse of the bladder. Anterior vaginal wall dilatation can cause frequent urination, difficulty in urination, stress urinary incontinence, etc. Posterior vaginal wall dilatation can cause constipation. Surgery is needed in serious cases. 2. Repeated vaginal bleeding: the low level of estrogen in the elderly, after removing the uterus, the vaginal stump is prone to poor healing, causing repeated vaginal bleeding. 3. Psychological harm: hysterectomy in the elderly with low estrogen levels generally has a small impact on female hormone levels, but some women will have psychological disorders, low self-esteem, depression, affecting the sex life of the elderly, affecting family harmony. Clinical elderly hysterectomy sequelae need to be timely consultation, under the guidance of the doctor to give reasonable treatment.