Total vag. hyst& bilat salpinoopherectomy . 2 options, vag.only or with laparoscopic assist.60yo, thin, complex hyperplasia ?

Well, they are both : Good options. I prefer laparoscopic because that's how i was trained and it's not as difficult on the back, especially if removing ovaries. Your uterus may be prolapsing but let the doc do it how they feel most comfortable. If option is open and doc feels comfortable doing vag hyst, go that route, it costs less, faster, no holes in tummy. If multiple other surgeries consider lap assist. Gd luc.

Skill of surgeon: In general a vaginal hysterectomy is easier to recover from. That being said, when I have to have surgery i always defer to the preference of the surgeon. I want the person holding the knife to feel totally comfortable doing the procedure they feel is best. If i were your surgeon i would do a robotic hysterectomy. That is my preference.