Introduction: Hysterectomy is one of the most commonly performed major operations. Historically the uterus has been removed by either the abdominal or vaginal route. The vaginal operation is preferable when there are no contraindications because of lower morbidity and quicker recovery. Laparoscopically assisted vaginal hysterectomy (LAVH) has gained widespread acceptance. Laparoscopic dissection of the para-uterine tissues to the level of the uterine arteries (LAVH) or to include the uterine arteries (laparoscopic hysterectomy), also permits oophorectomy or dissection of adhesions under direct vision more easily than this can be achieved at vaginal hysterectomy (VH). Recently LAVH was associated with a significantly higher rate of major complications than abdominal total hysterectomy (TAH). LAVH took longer to perform but was associated with less pain, quicker recovery and better short-term quality of life measures. Materials And Methods: This is a Prospective and Comparative Study conducted at Department of Obstetrics and Gynecology, Ayaan Institute of Medical Sciences over a period of 1 year. Total 140 patients undergoing hysterectomy for benign uterine pathology meeting the inclusion and exclusion criterion will be included in the study. 70-Laparoscopic assisted vaginal hysterectomy and 70-Total abdominal hysterectomy. Results: 87.1% of women of TAH group needed spinal anesthesia and only 12% needed general anaesthesia. On the other hand, all the women of LAVH group needed general anaesthesia. Duration of surgery was little more in patients who underwent LAVH when compared to patients who underwent TAH. The average duration of surgery in TAH group is 50 minutes and it is 75 minutes in LAVH group. In TAH group, blood loss was more (250-500ml) in 32.85% of patients, where as it was <250 ml in 58.57% of patients in LAVH group. Average blood loss is 238 ml and 130 ml in TAH and LAVH group respectively. Only two patients (5%) in TAH group had bladder injury where as in LAVH group one patient (3.3%) had bladder injury and one patient (3.3%) had bowel injury. No bowel and ureteric inuries in TAH group. Only 2 patients in LAVH group needed conversion into laparotomy because of adhesions and uncontrollable haemorrhage. Conclusion: LAVH is associated with less blood loss and decreased intra operative complications when compared to TAH. Length of hospital stay is significantly less for LAVH when compared to TAH. Post-operative pain, complications and blood transfusions are more with TAH group, because of which patient had longer hospital stay and took longer time for recovery and return to work.