**Abstract**

The following chapter will focus on laparoscopic hysterectomy in morbidly obese patients. The discussion reviews the physiological changes associated with morbid obesity and the potential implications on pneumoperitoneum during laparoscopic surgery. Important considerations such as perioperative care and operating room setup are discussed. Additionally, obtaining abdominal access, reviewing the surgical approach, and post-operative considerations are all highlighted within this chapter.

**Keywords:** minimally invasive surgery, morbid obesity, laparoscopic hysterectomy, robotic assisted laparoscopy hysterectomy
