<p> The aim of the study is to present the varied indications, anticipated risk and the perioperative outcomes of NDVH in 508 cases in a tertiary care institution of India. All patients requiring hysterectomy for benign gynecological disorders who did not have any uterine descent were recruited for this study. Total 508 vaginal hysterectomies were performed during the study where 292 cases (57.4%) were in the age group of 40 to 44 years. Dysfunctional uterine bleeding was the commonest indication (284 cases, 56%). Complications were negligible. Hence vaginal hysterectomy for non-descent large uterus is safe and the surgeon’s expertise carries the most important prerequisite criteria rather than giving much emphasis on the size and the adequacy of the vaginal access for NDVH.</p>