Background: Route of hysterectomy is always a matter of discussion because hysterectomy is a frequently performed operation for the benign conditions of the uterus. The advantages of the laparoscopic approach compared to open surgery include less intraoperative bleeding, shorter hospital stay, faster recovery and lower rates of wound and / or abdominal wall infections, at the expense of a longer surgery Aim: 1. To study incidence of Total Laparoscopic Hysterectomies out of total laparoscopic surgeries in rural set– up. 2. To study incidence of Total Laparoscopic Hysterectomies out of total Hysterectomies. 3. To study various indications of Total Laparoscopic Hysterectomies. Material and Methods: The present Retrospective observational study was conducted in the Department of Obstetrics and Gynecology, C.C.M Medical College and Hospital, Kachandur, Durg (C.G.) in 247 total women (40 – 65years) underwent Total Laparoscopic Hysterectomies (TLH) between January 2014 to June 2018 (54 months). After inserting camera through primary port, quick evaluation of whole abdominal cavity was undertaken by rotating 30o camera through 360 degrees to rule out any adherence of bowel and decision made for inserting secondary 5mm ports through small incisions under direct vision. Results: Out of total 4128 major gynaecological surgeries 810 patients underwent gynaec laparoscopic surgeries i.e. 19.62% & Out of total 810 cases of total Gynaec Laparoscopic Surgeries 247 cases underwent TLH i.e. 30.50%. Incidence of TLH (247) out of total Hysterectomies (970) were 25.46%. In our study maximum 84 cases (34.41%) were of AUB–L followed by AUB– A 34 cases (13.76%), AUB– M 28 cases (11.33%), AUB– O 25 cases (10.12%), CIN II/CIN III 16 cases (06.48%), AUB– P 15 cases (06.07%), AUB– N & Complex TO Mass 8 cases (03.24%), PMB 7 cases (02.83%), Chronic PID 6 cases (02.43%), Chronic Pelvic Pain with Chronic Cervicitis 5 cases (02.02%) and minimum 4 cases (01.62%) of both Grade IV Endometriosis & AUB with I Prolapse. CONCLUSION: TLH can be most suitable & beneficial step specially in rural set up not only feasible but very safe, effective, short hospital stay & not so costly as a operative tool