A patient in need of a Total Laparoscopic Hysterectomy may present with symptoms such as abdominal pain and abnormal uterine bleeding. Possible causes of these symptoms include Fibroid Uterus, Adenomyosis, Endometrial Polyps, Endometrial Hyperplasia, Endometrial Cancer, and Endometriosis. A hysterectomy can be completed through open, vaginal, and laparoscopic approaches Total laparoscopic hysterectomies and vaginal hysterectomies have been found to result in decreased blood loss, shorter hospital and recovery periods, and fewer abdominal wall infections than open hysterectomies. The contraindications for a vaginal hysterectomy include prior abdominal surgery, long and narrow vagina, and endometriosis.