The first laparoscopic hysterectomy (LH) was performed in January 1988 by Harry Reich in Pennsylvania. There has been a great increase in interest following the introduction of LH but most surgeons now perform laparoscopically-assisted vaginal hysterectomy (LAVH) and then total laparoscopic hysterectomy (TLH). This minimal access surgical procedure was designed to be an alternative to abdominal hysterectomy and not vaginal hysterectomy. Benign uterine diseases of uterus are very common and often need hysterectomy and laparotomy.