Introduction/Background Introduction: Total hysterectomy is the golden standard operation when hysterectomy is indicated. Obligatory subtotal hysterectomy (OSH) is performed when an experienced gynecologist is obligated to perform subtotal hysterectomy not total hysterectomy, due to : Extensive adhesions, Some types of leiomyoma, Peripartum (uncontrollable postpartum hemorrhage, rupture uterus and abnormal Placental adhesions). Cervical stump carcinoma is a major disadvantage of subtotal hysterectomy (1% to 2%.).

Objective To pinpoint simple and applicable novel strategies on performing OSH, for prevention of stump cervical carcinoma.

Methodology Prospectively, we apply certain precautions on performing 26 (OSH) in last ten years, including, ablation of endocervical columnar epithelium and transformation zone intraoperatively Then follow up postoperatively, utilizing cervical screening recommendations, with visual inspection with acetic acid (VIA)

Results No report of any case with Squamous intraepithelial lesions or stump cervical carcinoma among these 26 cases till now.

Conclusion Stump carcinoma can be prevented by adherence to the recommended our novel intraoperative and postoperative precautions on performing OSH

Disclosures The authors declare that they have no relevant or material financial interests that relate to to the research described in this paper