Most of the TLH surgeries are performed for benign tumors or conditions like fibroids, abnormal uterine bleeding, endometriosis and uterine prolapse. In place of open surgeries, TLH surgeries are keyhole surgeries that are less time consuming, more accurate, less invasive and assure faster recovery in the patient. Open surgeries have more chances of complications as compared to TLH. These TLH surgeries are typically performed using the following steps: Preparation and positioning of the patient, insertion of a uterine manipulator, abdominal entry and trocar placement, hug the ovaries, mobilize the bladder, secure the uterine vessels, separate the uterus and cervix from the vaginal apex, removal of uterus, vaginal cuff closure and site closure, followed by an extensive postoperative management schedule.

TLH procedures are critical and need to be performed with precision and expertise. As for postoperative management, patients are usually put on management medications and evaluated for their vital stats including postoperative nausea, vomiting, response to medications and surgery. The follow up is usually continued for few weeks to months until the patient is stabilised.