Four different approaches for hysterectomy are possible: through laparotomy; via the vagina; with the help of laparoscopy using several small incisions; and by single incision laparoscopic surgery. Currently, around 70 to 90% of hysterectomies are carried out via abdominal incision. This article compares the outcome of LAVH with SILS. In the SILS hysterectomy, only a single small incision in the belly button is created for insertion of the surgical instruments. The entire hysterectomy is performed using the SILS Port allows for the removal of the uterus through a small incision which measures only 20 mm. Compare to laparoscopic assisted vaginal hysterectomy recovery from the SILS hysterectomy is similar to the 2 weeks; however, laparoscopic hysterectomies may require multiple incisions which has less cosmetic value. Technological advances in SILS, including those in port structure, will enable gynecologists in future to employ strategies that effectively enhance instrument coordination and suturing. However; benefits of SILS to the patient need to be further documented prospectively before it can be recommended widely for every gynecologist to perform.