Hysterectomy continues to be the most common gynecologic surgery in the US, as an estimated 600000 women undergo hysterectomy for benign indications each year. For women who require hysterectomy, the appropriate route of surgery is determined by anatomic considerations, the type of pathologic condition expected, patient preference, and physician experience and training. Since the first laparoscopic hysterectomy was performed by Reich in 1988, laparoscopic hysterectomy has emerged as an alternative to the traditional abdominal or vaginal hysterectomy.[1] In 1990, Nezhat et al. described the first laparoscopic hysterectomy performed with the GIA multifire stapler.[2] Minimally invasive approaches to hysterectomy have gained favor over the traditional abdominal approach because of their various benefits, which include decreased blood loss, less adhesion formation, fewer complications, shorter hospital stay, faster recovery, and improved cosmesis. Even some of the earliest studies regarding laparoscopic-assisted vaginal hysterectomy have shown favorable outcomes when compared to an abdominal approach.