Hysterectomy is one of the most prevalent surgical procedures in the United States. Vaginal hysterectomies have been successfully performed for nearly two centuries. Abdominal hysterectomy remains the most prevalent surgical strategy, with laparotomies accounting for well over half of all hysterectomies With technology advancement more and more better surgical procedures are being developed which are less invasive and have less complications, Abdominal total Hysterectomy was for many years the gold standard for many cases until development of Total Laparoscopic Hysterectomy, which overall has better recovery time, less blood loss, less tendency of infection and less minor complications. This review aims to compare abdominal total hysterectomy and total laparoscopic hysterectomy in terms of recovery and complications.