Hysterectomy is the most common main surgical procedure performed in women, generally for menorrhagia.  There are significant international and regional variations in the hysterectomy rate and the route at which hysterectomy is performed reflects patient preference, additional national surgical practice and the ease of access to specialist healthcare.  The recent introduction of National guidelines changed practice has reduced the variation in hysterectomy rates to some degree.

With the introduction of Mirena and Endometrial Ablation becoming more widespread, coupled with a growing desire by women to avoid major surgery, the incidence of hysterectomy worldwide is reducing.

This presentation will examine in more detail global hysterectomy trends against increased ablation and Mirena in practice and will speculate on how this will continue to improve the care for women in future years.  It will also identify vital research questions that need to be addressed to allow us to continue to offer our patients the best available treatment options.