is the major surgical procedure to remove the uterus. Total hysterectomy involves the removal of the uterus and cervix. Radical hysterectomy involves the removal of the ovaries and fallopian tubes, the uterus, cervix, upper part of the vagina and lymph nodes and it can be done abdominally or vaginally. Hysterectomy is performed as the last resort when nothing else can be done

if possible the patient must be admitted well in advance to enable the medical team to do the necessary investigations

The symptoms of menopause, related to depression must be explained to the patient

It is important to involve the family in discussions about postoperative care

involves relieving anxiety related to psychosocial issues, such as fear of the outcome

involves the preparation of the site to be operated upon, for instance, shaving the lower abdomen Providing for hygiene need

Consider the patient's religious beliefs during any counselling or procedure to be done

The patient must be taught breathing and coughing exercises to prevent respiratory complications

Urine retention related to bladder dysfunction due to anaesthesia

Wound infection related to debility and non- adherence to aseptic technique