Background: Hysterectomy is one of the most frequent surgical procedures for women and has been under discussion since the 1970s because of regional and international variations in incidence, indications and surgical methods. Objectives: was to present an updated assessment for incidence, indications, complications and types of hysterectomy from the available data about the patients at El-Tahrir general hospital (Imbaba) and compare the results of this thesis to the worldwide results. Patients and methods: This is a retrospective study, was carried at Obstetrics & Gynecology department at Al-Tahrir general hospital under supervision of Obstetrics and Gynecology Department, Faculty of Medicine, on 250 pregnant females, Al-Azhar University, from August 2019 till December 2020. Results: operation data according to type of operation, there are 16 (6.4%) Hysterectomy (caesarean-hysterectomy), 116 (46.4%) Hysterectomy (sub-total), 134 (53.6%) Hysterectomy (total), 1 (0.4%) Laparoscopic hysterectomy, 7 (2.8%) Vaginal hysterectomy, according duration of surgery there are 226 (90.4%) <2hours, 24 (9.6%) > 2 hours. Conclusion: as any surgical procedure, hysterectomy is also associated with complications during and after surgery. Therefore, the indication for hysterectomy should be carefully evaluated. Hence reporting of all hysterectomies should be made mandatory so that the audit results can be used for improvement in the quality of health services.