Total hysterectomy for adenomyosis, there is no such thing as whether laparoscopic or open is better, these two surgical methods have their own advantages, and need to choose the appropriate surgical method according to the patient’s different conditions. 1. Laparoscopic: The main advantage of laparoscopic surgery is that it is less traumatic, less bleeding, less damage to the body, and faster recovery. It is mainly suitable for some patients with mild disease. 2. Open surgery: open surgery is the traditional surgical method, this surgical method is more traumatic, more bleeding, more damage to the body, recovery will be slower, but this surgery can directly observe the specific situation of patients with adenomyosis. It is suitable for some patients with more serious or complicated conditions. If patients with adenomyosis need to undergo total uterine excision, they should choose regular hospitals for timely consultation, and choose the appropriate surgical method under the guidance of the doctor.