Objective: To compare and critically evaluate the outcome and complications of abdominal, vaginal & laparoscopic hysterectomy techniques Method: This is a retrospective review. We studied case records of 20 patients in each group undergoing hysterectomy by different approaches, parameters recorded were age, parity, volume of uterus, operative time, blood loss, duration of hospital stay & post operative morbidity. Result: The most common indications were fibroid, DUB & adenomyosis.There was statistically significant difference in mean time taken, and mean blood loss, number of units of blood transfused, and mean hospital stay & morbidity.