 This study compared surgical outcomes between total laparoscopic hysterectomy, TLH, and vaginally assisted natural orifice transliminal endoscopic surgery, VNOTES, hysterectomy procedures in obese patients finding that VNOTES provided favorable outcomes including shorter duration of surgery, postoperative hospitalization, and lower pain scores. This article was authored by Chihan Kaya, Sukru YLDZ, Ismael Allari and others.