Study Objective. The aim of the study is to assess the degree of satisfaction of patients with their operation comparing laparoscopic-assisted vaginal hysterectomies (LAVH) with the data available in the literature. Design. A questionnaire was sent to the patients approximately eight months after their operation (a minimum of six and a maximum of 24 months). The questionnaire was conceived to assess conflicting statements and to obtain objective data. Setting. All the operations were performed at the Jan Palfijin General Hospital, Antwerp, Belgium. Interventions. Between January 1991 and December 1993, 116 LAVHs were performed. Measurements and Main Results. Fifty-three questionnaires were returned. From the patients returning their questionnaires, 98% prefer LAVH over abdominal hysterectomy because of the cosmetic results. Conclusions. The psychological and sexual reactions are determined solely by the patients' individual enlightenment.