The abdominal histerectomy has been used during several years as a definitive treatment for the high grade squamous intraepithelial lesion of the cervix, because it is associated with a high index cure, with 1% to 15% of relapses as neoplastic lesions in the vaginal stump or isolated lesions. The object of this study is to evaluate the extrafascial abdominal histerectomy as an effective and definitive therapeutitic method for the high grade squamous intraepithelial lesion, with an annual colpocythologic follow up.In the Gynecology Service from the Veracruz State Cancerology Center "Dr. Miguel Dorantes Mesa", of the Secretary of Health in Xalapa Veracruz, a retrospective, study was performed from 41 cases of histerectomy for high grade squamous intraepithelial lesion, with a three year follow up, with the result of 7.3% of recurrence in the vagina stump.The extrafascial histerectomy as a definitive treatment for the cervical high grade squamous intraepithelial lesion decreases its efficacy while the stage of the lesion increases; the preoperative colposcopic evaluation helpful to determine the illness extension and discard similar lesions on vagina and vulva; five year follow up with annual cytology is mandatory.