Dayaratna S et al. – This study aims to determine total hospital costs and net hospital income for different types of minimally invasive hysterectomy and financial impact if a subset of patients underwent total vaginal hysterectomy (TVH) instead of their selected procedure. Hospital costs were greater with LAVH, TLH and robotic hysterectomy than for TVH. The hospital incurred financial losses with LAVH, TLH and RH. TVH was the only minimally invasive modality of hysterectomy that generated net hospital income. This conservative criteria to determine route of hysterectomy would increase the number of TVHs by over 30%.