Outcomes on Abdominal Versus Vaginal Morcellation At Time of Hysterectomy

Inclusion Criteria: * All benign total laparoscopic hysterectomy and/or robotic-assisted hysterectomy, +/- unilateral salpingo-oophorectomy or bilateral salpingo-oophorectomy * Adnexectomy, cystectomy, tubal procedures at time of hysterectomy * Age \>18 years old * Uterus \>12 weeks, or \>250 grams (based on imaging), or requiring morcellation based on clinical judgment at time of pre-operative enrollment * English and Spanish speaking Exclusion Criteria: * Pre-malignant conditions (i.e. endometrial intraepithelial neoplasia, high-grade cervical intraepithelial neoplasia), known gynecologic malignancy, and any contraindications to abdominal or vaginal morcellation * Planned concurrent procedures (i.e. hernia repair, bowel resections, anti-incontinence procedures, prolapse repair, and mastectomy) * Appendectomy for endometriosis is not excluded * No chronic pain disorders requiring medical management (endometriosis can be included) * Planned abdominal hysterectomy or vaginal hysterectomy candidates * Conversion to laparotomy or inability to complete morcellation * Contraindications to laparoscopy