Objective: To compare perioperative consequences and costs in patients with a bulky fibroid uterus sizing ≥ 12 weeks who underwent either non-descent vaginal hysterectomy (NDVH) or underwent total laparoscopic hysterectomy (TLH) for non-descent uteri. Patients and methods: A retrospective analysis included 105 patients with a bulky fibroid uterus sizing ≥ 12 weeks; it was performed between January 2015 and April 2023 in Benha University Hospital. NDVH and TLH groups enrolled 56 and 49 patients respectively. Results: Both groups' participants were analogous as regards age, parity, pre-operative mean hemoglobin levels, hematocrit value, accompanying comorbidities, previous CS numbers and parallel indications for hysterectomy, but higher preoperative HBA1c and briefer preoperative hospital admittance (p0.05). An elevated variances (p