The steps of surgery for removal of the uterus as well as bilateral adnexa are different depending on the type of surgery chosen, for example, laparoscopic removal, open removal. But the general steps of the surgical method uterus, bilateral adnexa and their removal are the same. The main ones are: first, the patient needs to be given a choice of anesthesia, combined lumbar and rigid anesthesia and anesthesia or general anesthesia. Second, after successful anesthesia to the patient’s surgical site sterilization, laparoscopic or open surgery sterilization site is mainly in the abdomen sterilization. Third, the abdominal cavity is gradually opened and the surgical instruments enter the abdominal cavity. Fourth, open and laparoscopic surgery is performed by first removing the round ligament, broad ligament, ovarian suspensory ligament, and finally the main ligament and cervix. Fifthly, the uterus and bilateral adnexa are removed and then the local flushing of the abdominal cavity is performed, and finally the abdomen is closed and the operation is finished.