A hysterectomy is the second most common surgical procedure for women of reproductive age, after Cesarean sections. There are four main types of hysterectomy: simple, subtotal, total, and radical. Reasons for undergoing a hysterectomy include uterine fibroids, uterine prolapse, pelvic pain, and abnormal bleeding. When discussing the procedure with a doctor, important factors to consider include what organs will be removed, the surgical approach (abdominal, vaginal, or laparoscopic), potential risks and benefits, and effects on sexuality and hormone supplementation needs after the surgery.