There are two types of surgery to remove the uterus, one is open surgery and the other is laparoscopic surgery. Laparoscopic surgery is a minimally invasive procedure that is still very effective for removing the uterus, and the patient recovers very quickly after the surgery, and the pain after the surgery is very mild. For the surgery, you will need to go to the operating room under anesthesia for a total hysterectomy. In the case of open surgery, this is usually due to larger fibroids or more severe adenomyosis and severe pelvic adhesions. This type of surgery is shorter, but there is a chance that the incision in the abdomen may be painful after the surgery and surgical scarring can occur at the incision in the abdomen.