This video demonstrates Total Laparoscopic Hysterectomy by Dr. R.K. Mishra at World Laparoscopy Hospital, Gurgaon, India. Total Laparoscopic Hysterectomy is one of the most commonly performed major gynecologic procedures around the world. Benign diseases are responsible for more than 70% of the indications for hysterectomy and include menstrual disorders, fibroids, pelvic pain, and uterine prolapse. Traditionally, hysterectomy is performed by laparotomy or by vaginal access. In 1989, Reich et al. described the first totally laparoscopic hysterectomy, which is currently considered an alternative means of access to traditional techniques for hysterectomy. Despite the advantages of the laparoscopic and vaginal routes compared with laparotomy, the Total Laparoscopic Hysterectomy remains the most widely used access route for performing hysterectomy worldwide by Laparoscopy.