This video demonstrates Total Laparoscopic Hysterectomy (TLH) with Bilateral Salpingo-oophorectomy (BSO)Traditionally standard treatment for patients with the uterine disease is a total abdominal hysterectomy and bilateral salpingo-oophorectomy (TAH+BSO) with or without lymph node dissection through a vertical midline incision. While TAH is an accepted effective treatment, it is highly invasive, visibly scarring, and associated with morbidity. An alternative treatment is the same operation by laparoscopic hysterectomy with bilateral salpingo-oophorectomy. Though in several studies total laparoscopic hysterectomy (TLH+ BSO) seems a safe and feasible alternative approach in early-stage endometrial cancer patients, there are no randomized data available yet. Furthermore, a randomized controlled trial with surgeons trained in laparoscopy is warranted in order to implement this technique in a safe manner.