Let’s start with a set of statistics: the number of hysterectomy cases in our country is over 2.5 million per year. In the United States, on average, one woman has her uterus removed every minute, and a large percentage of those are for the treatment of fibroids. So how many uteruses are removed worldwide in a year! So why are so many uteruses being removed? What kind of diseases require hysterectomy? In fact, in our clinical work, the main reasons for hysterectomy are: uterine fibroids, malignant tumors of the uterus, ovarian tumors requiring hysterectomy, and some other diseases such as obstetrical reasons. Since there are so many hysterectomies, let’s understand the history of hysterectomy, from which we may also find some interesting things. 1. The first hysterectomy was performed by Soranus in the 2nd century AD, when he removed a prolapsed and gangrenous uterus vaginally. 2. For the next 1500 years, hysterectomies were performed sporadically in Europe, all for patients with prolapsed uterus or endometriosis, and all were transvaginal procedures, but the specific procedure and prognosis were not recorded. 3. Early 19th century. The contribution of two Europeans was made by Baudelocque in France and Langenbeck in Germany, who performed a vaginal hysterectomy in 1813 on a patient with uterine prolapse combined with cervical cancer [2], while Baudelocque performed more than 20 vaginal hysterectomies in the same period. Due to the lack of effective anesthesia, hemostatic techniques and antibiotics, intraoperative and postoperative complications were extremely high, with a mortality rate of 80%. This procedure was refined and by the early 20th century, it had gradually become the popular model today. 4. In 1929, Richardson reported his own surgical approach to transabdominal hysterectomy, which is still in use today. By the 1930s, the advantages of an open field and ease of operation outweighed the disadvantages of the more invasive complications, and transabdominal hysterectomy finally became the mainstream hysterectomy procedure. 5, in the open surgery continues to develop and promote the application of the same time, another revolution in the history of surgery is also quietly sprouting, growth, and finally swept the world with a prairie fire, which is laparoscopic technology. First conceived by the great Professor Semm, the first laparoscopic hysterectomy was finally performed by Reich in 1989, marking the birth of the third member of the hysterectomy family. With its advantages of minimal invasiveness, good surgical results and rapid postoperative recovery, laparoscopic hysterectomy has been widely performed around the world and in less than 20 years has surpassed the negative hysterectomy and has now become one of the most commonly performed hysterectomy procedures. It is evident from this that the evolution of a procedure takes generations to get to the point where we have fixed these hysterectomies today, some even costing the lives of many people. Currently hysterectomy is mainly transabdominal, transvaginal, and translaparoscopic. The main modalities are total hysterectomy, subtotal hysterectomy, and intrafascial hysterectomy. I think basically the age of hysterectomy patients are above 40 years old, and most of them are above 45 years old, when the couple has been living together for 20 years, it is estimated that they have been getting along very well, and treat each other as part of themselves. The impact of sex on both sides may not be absolute, no one male will be because his lover has a disease to remove the hysterectomy on their own sex life has an impact on their complaints or do not allow the woman to remove the hysterectomy. The most I’ve encountered is a woman who doesn’t want to have her hysterectomy because she’s worried about the male partner’s sex life being affected. To be honest, I speak from the male point of view, the big man, do not worry, the removal of the hysterus is more women are affected, both physically and mentally, and there is no harm or discomfort for you. Of course, with the progress of society and the improvement of people’s living standards, more women pursue the integrity of their organs and are understandably reluctant to have this iconic female thing removed, so there are actually several ways to preserve your uterus at present. 1. hysterectomy with preservation of the uterine artery within the fascia; 2. central hysterectomy; 3. hysterectomy with preservation of the superior branches of the uterine artery and ovarian branches. But be sure to listen to the advice given to you by your doctor instead of one-sidedly demanding that you must preserve the uterus and go for that no matter what the situation is, leaving you with hidden problems instead. In conclusion, I believe the removal of one organ will not change your life as a result, whether male or female. Common experience common ambition is the driving force of your life together, loving and caring for each other!