The most common surgery in gynecology is hysterectomy, the traditional hysterectomy is usually a longitudinal incision open surgery in the lower abdomen, later, because the longitudinal incision is not beautiful enough and not easy to heal, it was changed to transverse incision open surgery in the lower abdomen, the problem of beauty and healing was effectively solved, but when the surgery was performed again, it was found that the transverse incision open surgery was not less traumatic than the longitudinal incision open surgery, so they wanted to remove the uterus through the vagina, without The abdominal incision solves the aesthetic problem and avoids the incision healing problem. But is the surgery less invasive? A transvaginal incision into the uterus is what we call a cathartic hysterectomy. It was first designed as a surgical procedure for prolapsed uterus. Because of uterine prolapse, in some heavy patients the uterus has completely prolapsed outside the vagina, often combined with prolapse of the anterior and posterior vaginal walls, transvaginal surgery to remove the uterus is more convenient and also allows simultaneous repair of the anterior and posterior vaginal walls. It is a site-specific surgery that facilitates the removal of the uterus and the repair of the vagina, making it a classic procedure for surgical destruction and repair. Currently, some gynecologists have further promoted the Yin hysterectomy for the removal of non-prolapsed uterus and even for the removal of large non-prolapsed uterus. In contrast to prolapsed hysterectomy, the surgery requires forceful traction of the uterus outside the vagina, and the larger the uterus, the greater the traction force required, then the ligaments and pelvic floor tissues supporting the uterus will be torn or even ruptured by the external force, resulting in irreparable damage, which is also an important reason for the “collapse” of the pelvic floor after vaginal surgery to remove the uterus in patients who do not have prolapsed uterus This is one of the important reasons for the “collapse” of the pelvic floor after vaginal surgery for patients without uterine prolapse. Compared to open surgical removal of the uterus, a femoral hysterectomy has no abdominal incision, reducing abdominal wall trauma but increasing pelvic floor injury. What about ripe and heavy? Each patient’s needs are different and the choice will be different. From a clinical point of view, laparoscopic hysterectomy is much less traumatic to the abdominal wall than open surgery, and at the same time, it avoids damage to the pelvic floor tissues and allows repair of previously damaged pelvic floor tissues, so it should be the procedure of choice for patients with a non-prolapsed uterus that needs to be removed.