This video demonstrates Total Laparoscopic Hysterectomy for Large Uterus. Hysterectomy is the most common gynecologic surgical procedure performed, accounting for 1600,000 procedures per year. The most common indication for a hysterectomy is abnormal uterine bleeding, which is frequently caused by uterine leiomyoma, which is present in 25-50% of reproductive-aged women. Total Laparoscopic Hysterectomy is a method of choice for large uterus if the surgeon has sufficient experience.