Laparoscopic hysterectomy was first performed in 1989 by Dr. H. Reich in the USA. Laparoscopic hysterectomy is a procedure which should be considered as an alternative to abdominal hysterectomy, not a substitute for vaginal hysterectomy. Traditionally, vaginal hysterectomy has been offered to women who have a small uterus with a degree of uterine descent, with no apparent adnexal pathology, pelvic adhesions, or large fibroids.