» How is a hysterectomy performed? - The Hysterectomy Association

There are four types of hysterectomy operation:

A “subtotal hysterectomy” removes the uterus leaving the cervix in place. If you have this operation you will need to continue to have smear tests.
A “total hysterectomy” removes the complete uterus including the cervix, this is the operation most commonly performed.
A “total hysterectomy with bilateral or unilateral salpingo-oopherectomy” removes the uterus, cervix, fallopian tubes and both or one of the ovaries.
A “wertheims hysterectomy” removes the uterus, cervix, part of the vagina, fallopian tubes, peritoneum ( this is the broad band of ligament below the uterus), the lymph glands and fatty tissue of the p

The operation is usually performed under general anaesthetic, however in a can also be performed with with an epidural (injection into the spine) that numbs the area around the spinal column and anything below it.

In addition to the different types of operation, there are a number of different ways to perform a hysterectomy. The most common way is to remove the uterus through a cut in the lower abdomen, the second, less common, way is to remove the uterus only through a cut in the top of the vagina, the top of vagina is then stitched. Each operation lasts between one to two hours and is performed, in hospital, under a general anaesthetic.