3D printed model of a uterus

Laparoscopic Hysterectomy

A laparoscopic hysterectomy is a minimally invasive surgical procedure to remove the uterus (womb) using small incisions and a camera (laparoscope). This approach typically allows for faster recovery, less pain, and smaller scars compared to traditional open surgery. The fallopian tubes and cervix are usually removed, and in some cases, the ovaries may also be removed (oophorectomy) at the same time.

Why You Might Need a Hysterectomy

This surgery may be recommended for a range of gynaecological conditions, including:

  • Heavy or abnormal bleeding not controlled by other treatments
  • Fibroids
  • Endometriosis
  • Adenomyosis
  • Chronic pelvic pain
  • Precancerous changes or early cancer
  • Risk-reducing surgery (e.g. for BRCA carriers)

What to Expect

Laparoscopic hysterectomy is performed under general anaesthetic and usually takes 1–2 hours. Most people spend one night in hospital, although some may go home the same day. You’ll be able to walk, eat, and go to the bathroom shortly after surgery.

Recovery

  • Most people return to normal daily activities within 2–4 weeks
  • Avoid heavy lifting or strenuous activity for 4–6 weeks
  • You may experience light vaginal bleeding or spotting for a few weeks
  • Bowel function and energy levels may take time to normalise

Recovery can vary depending on your body, your lifestyle, and whether other procedures were done at the same time.

Read more in my Surgical Recovery Toolkit.

Things to Consider

  • A hysterectomy is permanent—you will no longer have periods and cannot become pregnant
  • You may experience hormonal changes, especially if your ovaries are removed
  • Some people report changes in bladder, bowel, or sexual function, though many experience improvement in symptoms

We’ll talk through all of this in detail before surgery, so you feel confident in your decision.

Dr Sam Holford

Considering a hysterectomy?

I specialise in minimally invasive hysterectomy in Auckland—an advanced technique for a faster recovery, less pain & smaller scars.

Book an appointment

FAQs

Will I go into menopause after a hysterectomy?
A hysterectomy does not cause menopause unless the ovaries are also removed (an oophorectomy). If your ovaries are left in place, they will continue to produce hormones, and you will go through menopause naturally at a later time. If the ovaries are removed, you will enter surgical menopause.
How long will I need to take off work?
For a laparoscopic hysterectomy, most people need about 2 to 4 weeks off work. If your job is physically demanding, you may need up to 6 weeks. We will provide you with a medical certificate and a personalised recovery timeline. Read more in my Surgical Recovery Toolkit.
Will sex feel different after a hysterectomy?
Many people report that their sex life improves after a hysterectomy because the symptoms that were causing problems, like pain or heavy bleeding, are gone. The vagina is not shortened, and sensation is usually not affected. If the cervix is removed, some people notice a difference, but it is not typically negative. Read more about sex after surgery
What is the difference between a total and a subtotal hysterectomy?
A total hysterectomy involves removing the uterus and the cervix. A subtotal (or supracervical) hysterectomy removes the uterus but leaves the cervix in place. A total hysterectomy is the most common approach as it removes the risk of future cervical cancer, meaning you no longer need smear tests.
Can I still get ovarian cancer if I have had a hysterectomy?
Yes. If your ovaries are not removed during the hysterectomy, you still have a risk of developing ovarian cancer, although removing the fallopian tubes at the same time (a salpingectomy) can significantly lower this risk.

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Please note: This information is general in nature and not a substitute for medical advice tailored to your specific situation.