Gynecologic surgeons use different methods for entering the abdomen during surgical procedures. In most cases, the abdominal route is preferred, as surgeons are more comfortable with this approach due to their training in performing laparotomies or laparoscopic procedures. Previous surgeries, defects in the abdominal wall (such as vessels, hernias, and adhesions), and foreign bodies (like mesh and other implants) can distort the anatomy and increase the risk of intra-abdominal injury during surgery. Prior abdominal surgeries are traditionally considered risk factors for developing abdominal adhesions, which can make abdominal entry more challenging. Transvaginal access offers surgeons a potentially adhesion-free area, avoiding the need for abdominal incisions and potentially improving cosmetic outcomes and reducing pain.