The first step of laparoscopic hysterectomy is the placement of the patient in a general lying position to successfully establish the pneumoperitoneum, which facilitates the surgical operation. After the pneumoperitoneum is successfully established, the patient is placed in a head-low-hip-high position, so that the intestines are moved upward, which is conducive to the full exposure of the uterus and both adnexa, and a uterine lifter is placed at the same time as the pneumoperitoneum is established. Next, according to the steps of surgical excision of the uterus, the tubal ligament, ovarian ligament, round ligament of the uterus, the bladder of the uterus is opened by reflexive peritoneum, the bladder is pushed down, the uterine vessels are fully exposed, electrocoagulated and cut off, and the vessels are cut off while avoiding damage to the bilateral ureters. After cutting the vessels bilaterally, the sacral and main ligaments of the uterus are removed, and the vaginal wall is circumferentially cut along the edge of the cup by lifting it upwards. The pelvic trauma was observed for active bleeding, and electrocoagulation was given to stop the bleeding. The vaginal stump was closed with continuous absorbable sutures, the trauma was observed for bleeding, and reinforcing sutures of the peritoneum were given to end the operation.