Since Weitherm performed the first extensive hysterectomy for cervical cancer in 1898, various procedures have emerged until 1974, when Piver et al. classified radical hysterectomy into 5 types to standardize the scope of surgery and its indications. However, there are many disadvantages of Piver’s surgical typing, such as excessive extent of resection, especially long vaginal resection, which cannot be applied to laparoscopic and nerve-preserving surgery. This new surgical staging has also been recognized by our colleagues. It reflects the principle of individualized treatment according to the lesion. The staging based on anatomical structures can also be accurately described in laparoscopic or robotic surgery, and the new staging method covers new surgical concepts such as radical hysterectomy with preservation of the pelvic nerve. Rational reduction of the surgical scope and preservation of instrumental uterine function are important tools to improve the quality of life of patients. The increasing popularity of cervical cytology screening, which has greatly reduced the incidence of cervical cancer, has also led to an increase in the proportion of early-stage cervical cancer diagnoses. On the other hand, with the younger age of cervical cancer incidence and the delayed age of childbirth in modern society, the proportion of patients with incomplete childbirth in invasive cervical cancer is increasing year by year. While the traditional treatment is surgical removal of the uterus and regional lymph nodes, or radiation to kill the tumor in the primary site and lymphatic drainage area, surgery or radiation therapy will result in the loss of fertility while treating the tumor. This makes the preservation of reproductive function increasingly important in the treatment of cervical cancer. The first radical hysterectomy (radicaltra-chelectomy, RT) was performed by French surgeon Daniel in 1987. The scope of this procedure is almost similar to that of the classical radical hysterectomy in that only the diseased cervix is removed and the isthmus is anastomosed to the superior vagina, allowing the patient to cure the tumor while preserving the reproductive function. Currently, the main types of radical hysterectomy are vaginalradicaltrachelectomy (VRT) and abdominalradicaltrachelecto-my (ART). ART is similar to open radical hysterectomy and is familiar to gynecologic oncologists and does not require special training; VRT, which is a radical cervical hysterectomy with laparoscopic pelvic lymphadenectomy, requires a cathartic hysterectomy technique and lumpectomy instruments. Current published data demonstrate that the oncologic safety of fertility-preserving RT is the same as that of radical hysterectomy, with a recurrence rate of 2% to 4% and a cumulative pregnancy rate of 50% to 60%. The main difference between the two standard procedures for selecting patients for RT is the size of the tumor, with VRT being equivalent to type B surgery and therefore limiting the maximum tumor diameter to 22 cm, while ART is equivalent to type C surgery and relaxes to 4 cm, with the remaining indications being similar.