The tradition of transvaginal hysterectomy started in 1878 and is stil
l alive. A recent survey showed that two thirds of all hysterectomies
performed in Austria are done transvaginally. Although indications for
hysterectomy have changed quite fast during the last years, without d
oubt, hysterectomy remains an important alternative when conservative
treatment fails. If hysterectomy is to be performed, the transvaginal
route should be taken into consideration. Thus it is our task to pass
our knowledge to those unfamiliar with the vaginal technique.