ABSTRACT
To be a successful vaginal surgeon requires a certain mental attitude, which is that of a pioneering spirit, an innovative mind, and persevering character. The surgeon must be an astute clinician of sound judgment to make rational decisions based on the clinical evidence to provide the patient with the optimal surgical intervention to cure or ameliorate her condition. He or she must be capable of performing a variety of procedures, which may include laparotomy when necessary. No vaginal hysterectomy is the same as another, and every procedure is individualized to suit the clinical situation and deal with the surgical realities as presented. This chapter describes key clinical, anatomical, and surgical aspects of laparoscopic-assisted vaginal hysterectomy to enlighten and empower prospective surgeons who wish to incorporate this technique into his or her armamentarium.
