Vaginal and laparoscopic hysterectomies have been clearly associated with decreased blood loss, shorter hospital stay, speedier return to normal activities, and fewer abdominal wall infections when compared with abdominal hysterectomies. In this video, Dr. R K Mishra has outlined the steps to a successful Total laparoscopic hysterectomy. Due to a wide variety of anatomy and in the course of the uterine vessels, we find it helpful to initially skeletonize them with the Harmonic scalpel and uterine artery with ligasure. Total laparoscopic hysterectomy is a safe and effective procedure for women needing a hysterectomy. We enjoy a high operative volume and perform approximately 200 laparoscopic hysterectomy cases annually. The steps described herein are not meant to be an absolute truth, but rather a true and tested method that has served us well to safely accomplish this procedure.