This Video demonstrate Total Laparoscopic Hysterectomy with RoBi and Ultrasonic Dissector performed by Dr. R.K. Mishra at World Laparoscopy Hospital. We prefer to use the bipolar grasper prior to cutting with the Harmonic scalpel because bleeding can be encountered despite appropriate use of the Harmonic scalpel, especially in the setting of an enlarged uterus with engorged vascular plexuses. During this step of the procedure, the uterine manipulator is being pushed upwards and to the contra-lateral side to provide maximal visualization. Total laparoscopic hysterectomy is a safe and effective procedure for women needing a hysterectomy.