Elderly people after hysterectomy from the physiological point of view generally does not cause harm, anatomical position change will have some harm, after surgery may be localized wound infection, may also lead to adhesions in the pelvis, thus abdominal pain, intestinal obstruction and so on. 1. Physiological aspects: the main role of the uterus is to conceive a fetus, under the influence of hormones in the body, the endometrium will proliferate and shed every month to achieve a normal menstrual cycle, which is conducive to fetal implantation and conception. Elderly people are already menopausal, uterine atrophy, ovarian failure, will not come to menstruation and pregnancy, at this time the hysterectomy from the physiological usually does not affect. 2. Anatomical position change: after the removal of the uterus, the pelvic floor loses its support, which may lead to visceral prolapse. After the operation, there may be localized infection of the wound, or the pelvis may also lead to adhesions, which may cause abdominal pain, intestinal obstruction and so on. After hysterectomy, the elderly should go to the hospital for regular checkups, and if there is any abnormality, it is recommended to go to the hospital in time and follow the doctor’s instructions for treatment.