Objectives: To describe the socio-demographic characteristics of the patients, to analyze the evolution of the approach, the indications, the characteristics of the procedure (type of anesthesia, surgical procedure, per and postoperative complications, associated gestures, blood transfusion And duration of hospitalization) according to the approach and to specify the results of the hysterectomy for benign utero-adnexal lesions. Materials and methods: This was a retrospective, descriptive and analytical study of the hysterectomies performed for benign utero-adnexal lesions at the Department of Obstetrics and Gynecology of the Ouakam Military Hospital over a period of 11 years from 1st January 2006 to December 31st, 2016. Results: During the study period, we performed 392 hysterectomies among the 5,578 programmed gynecological surgeries, ie a frequency of 7%. There were 153 hysterectomies per laparotomy (39.03%), 222 vaginal hysterectomies (56.63%) and 17 coelio-prepared hysterectomies (4.3%). Between 2006 and 2016, laparotomy, vaginal and coelio-prepared hysterectomies rates increased from 76.9% to 23.1%, 39% to 56.6%, and 0 to 4.3%, respectively. Patients were aged 51.8 years (37-83 years) with an average parity of 5 (0-14). Indications were dominated by uterine fibroids (71.2%) in the laparotomy group, severe cervical dysplasia (36.9%) and uterine fibroids (28.8%) in the vaginal Benign endometrial disease (35.3%) and uterine fibroid disease (29.4%) in the "coelio-prepared" group. We performed 346 total interannexual hysterectomies (88.3%) and 46 total hysterectomies with bilateral adnexectomy (11.7%). The procedure was mostly spinal anesthesia (79.8%) and lasted an average of 89 minutes (45-215 minutes). The mean hemoglobin was 13.1 g/dL preoperatively and 11.1 g/dL postoperatively, a difference of 2g/dL on average. We recorded 11 intraoperative complications (2.8%). There were 6 severe haemorrhages, 3 digestive wounds and 2 bladder wounds. The duration of hospitalization was on average 4 days [2-7] and the follow-up was mostly simple (97.7%). Conclusion: This study on hysterectomies at the Military Hospital of Ouakam showed that the rate of laparotomy hysterectomies had decreased over the past decade in favor of vaginal and coelio-prepared hysterectomies. The indications for this procedure were dominated by uterine myomatosis and severe cervical dysplasia, and intraoperative complications, dominated by haemorrhages, were globally rare.