**8. Future considerations**

Worldwide, there are so many hysterectomized women, where developed countries have higher hysterectomy rates than their developing counterparts. There are some alternatives to hysterectomy for patients with heavy bleeding and for fibroids to decrease the frequency of non-hysterectomy solutions for these patients. There is a need for better training programs for all gynecologists about the alternative methods and new techniques that require more skill. Although, hysterectomy has full success in dealing with abnormal and heavy uterine bleeding and fibroids, it is associated with certain morbidity and, to a much lesser degree, mortality.

Finally, the vast majority of patients do not want to have a hysterectomy. All important information should be given to them about alternative procedures. Patients can decide themselves what is best for them.

*Hysterectomy - Past, Present and Future*
