Since the first hysterectomy done by Reich in 1989, laparoscopy has been gaining wide acceptance as the approach route. With better understanding of laparoscopic pelvic anatomy and realizing the need for concomitant surgeries like laparoscopic burch and paravaginal defect repair, enterocele and rectocele repair, gave rise to advent of total laparoscopic hysterectomy. In total laparoscopic hysterectomy, all steps of hysterectomy are accomplished laparoscopically, only extraction of uterus is done vaginally. It provides less chances of injury to bladder, ureter and less surgical trauma. By the unique virtue of preserving and not cutting the uterosacral ligaments, the vault support is maintained and vaginal length is not shortened. The intact pericervical ring prevents postoperative prolapse and maintains good innervation and blood supply to all supporting structures at the vault. At our center, over the past 10 years; since we made transition from LAVH to TLH, we have done about 977 cases. Mean operating time achieved now with uterus less than 300 gm and not too many adhesions is around 60 minutes. There has been no conversion to laparotomy or LAVH. There have been many more cases of previous cesarean sections, extensive endometriosis, large and very large uteri and myoma and concomitant pelvic floor repair as the natural progression in a surgeon’s career. We are very happy to report that barring one ureteric injury, which occurred very recently, we did not have any bowel, or electrosurgical injury.