Introduction: Hysterectomy is the most common surgery among non-pregnant women. Prevalence and causes of total abdominal hysterectomy can provide specialists with a new perspective in the treatment of these patients. This study examines the frequency and causes of total abdominal hysterectomies which were performed in Motahari hospital of Marvdasht, Fars, Iran.
 
Materials & methods: This cross - sectional study was done from 2007 to 2011 in the Motahari Hospital, Marvdasht, Iran. Data from 91 patients was recorded through questionnaires.  Then data was analyzed by the SPSS software.
 
 Findings: The number of hysterectomies in the 2011 was higher. The most common cause of hysterectomy was abnormal bleeding and uterine disability. The most common pathological finding in patients was leiomyoma.
 
Discussion & conclusion: According to a 10-fold increase in the number of cases of hysterectomy, the use of non-invasive alternative therapies is necessary.