In this lecture, the three different approaches to hysterectomy, i.e. abdominal, vaginal, and laparoscopic, are presented laying the emphasis on the laparoscopic technique. The classification of laparoscopic hysterectomy is provided and the most important functional outcome parameters are discussed in the context of an evidence-based comparison between these three approaches. The learning curve for laparoscopic hysterectomy is emphasized and the corresponding data are presented. A take home message is conveyed.