In conjunction with the introduction of laparoscopic hysterectomy into wider clinical practice significant changes take place in the evaluation of medical and economic aspects of alternate surgical techniques. In the investigated group the advantages of a minimally invasive and vaginal approach in the evaluation of perioperative parameters and time of convalescence were confirmed. Laparoscopically assisted vaginal hysterectomy by the simple coagulation technique reduces considerably the costs of the operation. Costs can be markedly cut by reducing the number of days in hospital and by an earlier return to work. After systemic problems associated with funding of the health services will be resolved it will be useful to implement further extensive prospective studies. The results of these studies along with medical findings can participate in a significant way to an optimal ratio of different alternate surgical techniques of hysterectomy.