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There are three different techniques used for hysterectomy- Abdominal, Vaginal and Laparoscopic.

1. Abdominal Hysterectomy - is the oldest techniques in which the uterus is accessed through a horizontal or vertical incision of 5"-7" made in the lower part of the abdomen (just above the pubic line). This procedure is generally used for radical hysterectomy as the entire reproductive complex can be viewed and explored through this incision. Since this procedure involves the cutting of abdominal muscles, recovery after this surgery is slow to allow healing of the muscles. It generally takes 6 months for complete recovery.
   
   
2. Vaginal Hysterectomy was an improvement over the abdominal technique. The uterus is removed through the vaginal canal by making a small circular incision in the upper part of the vagina. This procedure is indicated in case of uterine prolapse. Since the incision is small it requires a shorter healing time and a shorter hospital stay. The complications and occurrence postoperative infection is also less as compared to abdominal hysterectomy.
   
   
3. LAPARASCOPIC ASSISTED HYSTERECTOMY is a modern minimally invasive technique with lesser post-operative complications and rapid recovery for the patient.
   
   
4. Total Laparoscopic Hysterectomy involves making three or four small cuts in the abdomen near the belly button. A laparoscope is inserted through the incisions into the abdominal cavity. The video imaging of the insides of the pelvic cavity through the laparoscope gives a clearer picture to the surgeon as compared to the traditional abdominal approach. Surgical instruments are inserted through the laparoscope into the belly and the uterus is cut into small pieces. The pieces are then removed through the small incisions made in the abdomen.
   
   
5. Laparoscopic assisted Vaginal Hysterectomy involves inserting a laparoscope through 2-3 small cuts in the abdomen near the navel, visualising the uterus and the surrounding areas, detaching the uterus and then removing it through the vagina.
   
   
6. Laparoscopic- assisted Supracervical Hysterectomy removes the uterus without removing the cervix using a morcellator which cuts the uterus into small pieces that can be removed from the abdominal cavity via the laparoscopic ports.
   
   
7. Robotic Laparoscopy Hysterectomy - is a variant of laparoscopic surgery using special remotely controlled robotic instruments that allow the surgeon finer control as well as three-dimensional magnified vision.