Laparoscopic assisted vaginal hysterectomy is a combination of laparoscopic and vaginal approaches. Since Harry Reich first described his laparoscopic hysterectomy (technique in 1989, laparoscopically assisted vaginal hysterectomy has become a popular alternative to abdominal hysterectomy in cases difficult to manage via the vaginal route alone. LAVH is a safe alternative to abdominal hysterectomy when a vaginal approach is contraindicated. Within the past decade, acceptance of minimally invasive techniques has changed the traditional approach to hysterectomy from open abdominal procedures to laparoscopy. The true indications for LAVH are pelvic adhesions, pain due to endometriosis, pelvic inflammatory disease or previous surgery. LAVH may also be considered for adnexal pathology when hysterectomy is indicated with severely reduced vaginal access and/or uterine mobility. Conversion from traditional abdominal hysterectomy to laparoscopic assisted surgery is perhaps the greatest benefit of LAVH. In addition, not all gynecologists are prepared to perform difficult vaginal procedures, and laparoscopic hysterectomy may be an opportunity to become familiar with a vaginal approach. Laparoscopically assisted vaginal hysterectomy was introduced to allow surgeons with limited experience in vaginal surgery to remove the uterus without an abdominal incision in the presence of pelvic adhesions, endometriosis, adnexal disease or large-sized uterus.