Coffee-colored vaginal discharge after total hysterectomy can be treated with increased observation and medication. If the symptoms persist or worsen, you need to consult a doctor in time. 1. Enhanced observation: Coffee-colored vaginal discharge after total hysterectomy is a common phenomenon, which is mainly caused by blood seepage from the wound. In this case, if there are no other symptoms, and the amount of small and no increase in the case is recommended to observe. 2. Medication: If this condition persists for a long time, such as one month after the surgery, the possibility of bacterial infection or poor wound healing should be considered. In this case, we need to take symptomatic treatment under the guidance of the doctor, such as the use of hemostatic drugs. If these symptoms occur after total hysterectomy, it is important to maintain vaginal hygiene. If the symptoms are more serious, it is important to pay attention to them and consult a doctor as soon as possible for examination and treatment under the guidance of the doctor.