The main objective of our study was to know the associations between disease & type of hysterectomy, indication of abdominal hysterectomy. And HPE conformation of pre–operative clinical diagnosis and USG findings. Its a prospective, observational study conducted at Department of Obstetrics & Gynaecology, Gauhati  Medical College & Hospital, Guwahati, which is a tertiary care hospital during the period June 2016 to May 2017. Study was conducted on women meeting the inclusion criteria, who were admitted for hysterectomy. Patients age, parity, clinical presentation, clinical diagnosis, USG finding and type of hysterectomy was noted. Results were analysed to find out correlation between clinical, USG, and histopathological findings.

Conclusion: Most common indication of hysterectomy for benign lesion in our study was found to be Fibroid followed by DUB and Adenomyosis. Correlation of clinical, USG and histopathological findings results were different for fibroid, DUB and Adenomyosis, which were the three common indications for hysterectomy for benign lesions.In case of Fibroid, correlation of clinical findings with USG and histopathology was significant.In case of DUB correlation of clinical findings with USG and histopathology was poor. In case of Adenomyosis, correlation of clinical findings with USG was moderate but poor with histopathology.