Hysterectomy: What It Is and What to Expect
Medically reviewed by Harsha Moole, MD, Internal Medicine. Last reviewed: October 2, 2026.
What kind of doctor provides Hysterectomy?
A hysterectomy is surgery to remove the uterus. An OB/GYN usually performs this operation. Some cases need a gynecologic oncologist, a surgeon who treats cancers of the female organs. A direct primary care or concierge doctor can be a first stop for an evaluation and can refer you to a specialist when needed.
What it is
A hysterectomy is an operation that removes the uterus. Sometimes the surgeon also removes the cervix. The ovaries may be left in place or removed depending on the reason for surgery. After a hysterectomy, a person can no longer become pregnant and will stop having menstrual periods.
Why a doctor might recommend it
Doctors suggest this surgery for several health problems. These include fibroids, which are noncancerous growths that can cause pain and heavy bleeding. Other reasons include endometriosis, uterine prolapse, heavy bleeding that does not respond to other treatments, chronic pelvic pain, and some cancers. Most doctors try other treatments first. Hysterectomy is a major operation that cannot be reversed.
How to prepare
- Ask your doctor which type of hysterectomy is planned and how it will be done.
- Share a full list of your medicines, vitamins, and supplements.
- Ask whether you need to stop taking any medicines before surgery.
- Arrange for someone to drive you home and help you for the first few days.
- Ask when to stop eating and drinking before the operation.
- Plan time off from work or school, often several weeks.
What happens during it
You will receive anesthesia, medicine that keeps you asleep and free of pain. Surgeons can reach the uterus in different ways: an incision in the lower belly, laparoscopy with several small cuts and a thin camera, or through the vagina. The surgeon removes the uterus and sometimes other organs, then closes the cuts. The operation usually takes one to three hours.
Recovery
Most people stay in the hospital one or two nights. Recovery takes several weeks. Walking soon after surgery helps prevent blood clots. Doctors usually say to avoid lifting heavy objects for about six weeks. Vaginal bleeding or discharge for a few weeks is common.
Risks and side effects
All surgery carries risks, including bleeding, infection, blood clots, and injury to nearby organs such as the bladder or bowel. If the ovaries are removed, the body enters menopause, which can cause hot flashes and bone thinning. Your doctor can discuss ways to manage these effects.
Who performs it
A board certified OB/GYN performs most hysterectomies. When cancer is involved, a gynecologic oncologist may do the surgery instead.
How a direct primary care or concierge doctor fits in
A direct primary care doctor charges a flat monthly fee instead of billing insurance. A concierge doctor usually charges more and often works alongside insurance. Either one can help with the steps before and after surgery. They can discuss symptoms, order tests, and refer you to an OB/GYN when a hysterectomy might be needed. After the operation, they can manage follow up visits and coordinate care with your surgeon.
Common questions
Will I go through menopause after a hysterectomy?
Only if the ovaries are removed. If the ovaries stay in place, they keep making hormones until natural menopause arrives.
Can I still get a pelvic exam after a hysterectomy?
Yes. You still need regular checkups, though the exams and screening tests may change.
How long will I be off work?
Many people return to desk jobs in about four to six weeks. Healing times vary, so follow your surgeon's advice.
Can a hysterectomy be reversed?
No. The uterus cannot be put back, and pregnancy is no longer possible afterward.
Sources
Medical Disclaimer
This content is for general educational and informational purposes only and is not medical advice. It is not a substitute for professional medical advice, diagnosis, or treatment, and reading it does not create a doctor-patient relationship. Always seek the advice of your physician or another qualified health provider with any questions about a medical condition, and never disregard or delay seeking professional advice because of something you read here. If you think you may have a medical emergency, call 911 (or your local emergency number) immediately.
