The entire hysterectomy is performed laparoscopically. The surgeon does not go below and perform any portion of hysterectomy vaginally. The technique of total laparoscopic hysterectomy, where the vaginal portion is totally eliminated, broadens the limits of this type of surgery allowing larger and more difficult hysterectomies to be performed laparoscopically. Total laparoscopic hysterectomy (TLH) requires much more surgical skills on the part of gynecologist who must be very experienced and proficient in performing operative laparoscopy.  Again, the advantages of this procedure, in comparison to the abdominal hysterectomy, are less postoperative pain, with a shorter hospital stay, and a quicker recovery.