After you have anesthesia, your vagina, pelvic area, and lower abdomen will be washed with a special disinfectant solution and you will be covered with sterile sheets.
A catheter, which is a flexible plastic tube, will be placed into your bladder. This drains and measures your urine during the surgery.
Your doctor will then make an incision in your abdomen. This can be either side-to-side or up-and-down; the length and exact location will depend on your specific situation. To take out the uterus, all the organs, ligaments, and blood vessels attached to it must first be separated. Then the uterus is taken out. If necessary, your fallopian tubes and ovaries may also be taken out, with the uterus.
To finish the surgery, the top part of your vagina is closed with stitches. Then the incision on your abdomen is closed with stitches or skin staples. Your body should absorb the stitches over time. But, staples need to be removed in 3-7 days. The doctor will put a bandage over the stitches or staples to protect them.
The whole surgery usually takes from one to three hours.