Laparoscopic hysterectomy is a proven minimally invasive approach to hysterectomy. Single incision laparoscopic surgery was developed over 10 years ago as an effort to improve cosmesis. Single incision laparoscopic hysterectomy never become widespread because of the difficulty associated with procedure due to lack of triangulation, instrument crowding, insufficient traction and counter traction. By incorporating mini-laparoscopy and single incision laparoscopic surgery, a hybrid procedure which I called “single port plus” enable the surgeon to use conventional laparoscopic techniques to perform hysterectomy while improving cosmesis.