The “feminine surgery”, i.e. transvaginal surgery, is a unique surgical procedure in gynecology. With the development of medical science and technology and the further improvement of the concept of minimally invasive surgery. This procedure has become the first choice for benign tumor diseases in gynecology. The first total hysterectomy was performed by Langenbeck in 1813 in Göttingen, a city in central Germany, when the operation was performed without anesthesia, knowledge of sterilization, or even an assistant. During the procedure, the operator’s left hand compressed the bleeding site and the right hand held the needle holder while one person performed the operation. At the end of the operation, the patient suffered from hemorrhagic shock due to heavy bleeding during the operation, and was revived only after splashing cold water. The operation was ultimately successful. At that time, total abdominal hysterectomy had almost no countermeasure against infection, and the femoral surgery reduced the mortality rate of infection substantially because the pelvic peritoneum was not closed and the vaginal dissection healed naturally. Since then, the femoral surgery has been recognized worldwide. Although the history of the femoral surgery is long, due to the development of sterilization methods to deal with infection, the emergence of antibiotics and the change of surgical instruments, as well as the limited operation space and the increase of technical difficulty, so far, most of the medical institutions in China still focus on “uterine fibroids and ovarian cysts”. The main procedure is “laparotomy”, and the negative procedure is limited to cases such as uterine prolapse. In Western countries such as the United States, Europe and Japan, this procedure has become popular because of the improvement of living standards and the development of minimally invasive surgery. At present, “total hysterectomy” in individual hospitals in China has accounted for 80%-90% of the total number of “total hysterectomy” cases. It has become a trend to carry out a wide range of negative surgery.