Hidden Scar Hysterectomy

A Hidden Scar Hysterectomy is a natural approach that allows surgeons to perform total or radical hysterectomy through the vagina, the body’s natural opening. As a result, it is the least invasive surgery for hysterectomy and you will have a hidden scar. During the procedure, you will be under general anesthesia. The surgery itself can be performed in less than one hour.¹

The surgeon will remove your cervix and uterus, but may also remove your fallopian tubes and/or ovaries at the same time. Additionally, if you have pelvic organ prolapse, your surgeon can fix your prolapse at the same time. Sometimes, even if you do not have pelvic organ prolapse, your surgeon can perform risk-reducing surgery to prevent a prolapse in the future. You will have a Hidden Scar.

Benefits of Hidden Scar Hysterectomy

Vaginal Hysterectomy is the preferred approach by health insurance companies, medical experts, and by medical societies like American College of Obstetricians and Gynecologists and the Society of Gynecologic Surgeons for the following reasons.1,2

  • Hidden Scar Hysterectomy is always the first approach considered by surgeons for benign disease because it is the safest and most cost-effective route.1,3 Abdominal, laparoscopic, and robotic approaches should only be performed if a Hidden Scar approach is not possible.¹
  • Surgery to fix or prevent Pelvic Organ Prolapse can be performed at the same time, without a separate incision or surgery
  • The incision is made internally around the cervix so a vaginal hysterectomy has a Hidden Scar
  • Vaginal hysterectomy is preferred in women with a high BMI¹

Risk of Hidden Scar Hysterectomy

While Hidden Scar hysterectomy is the least invasive approach, there are some potential risks:

  • If your uterus is too large or your vagina is too narrow, a Hidden Scar hysterectomy may not be possible
  • If you have had previous abdominal surgery and have a lot of scar tissue, a Hidden Scar hysterectomy may not be possible.

When comparing Hidden Scar hysterectomy to abdominal Hysterectomy, Hidden Scar hysterectomies had 3,4,5:

  • Shorter hospital stays
  • Faster recovery times
  • Less operating time
  • Lower blood loss
  • Fewer complications, like infection
  • A Hidden Scar
  • Least expensive for patients
  • Less Pain

Preparing for Hysterectomy

To best prepare for hysterectomy, you should do a lot of research to determine which treatment is right for you. Learn more.

Recovery from Hysterectomy

It’s important to prepare for your hysterectomy recovery. Learn more.

Life after Hysterectomy

Many women wonder what life will be like or after hysterectomy surgery. Learn more.


  1. ACOG Committee Opinion. Choosing the Route of Hysterectomy for Benign Disease. Nov 2009. Reaffirmed 2011.
  2. Safety in gynecologic surgery: A roundtable discussion, OBG Management Supplement, Lonky, Gebhart, Kho, Munro, October 2015, obgmanagement.com
  3. Wright K, et al. Costs and Outcomes of Abdominal, Vaginal, Laparoscopic and Robotic Hysterectomies. JSLS (2012) 16:519-524
  4. Chen et al. Comparison of vaginal and abdominal hysterectomy: A prospective non-randomized trial. Pak J Med Sci 2014. Vol. 30. No. 4
  5. Sokol, AI and Smithling, KR. What to do with the vaginal apex at the time of hysterectomy. OBG Management Supplement. Oct 2015.

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