Abstract Background: Vaginal hysterectomy is infrequently carried out when there is no utero– vaginal prolapse. The past few years have seen growing indications of vaginal hysterectomy which is now preferred over abdominal hysterectomy. Despite enough evidences in favour of vaginal hysterectomy, it is not the preferred route for hysterectomy in our country, probably due to lack of technical skill and expertise in non-descent vaginal hysterectomy in our country Methods: This cross-sectional comparative study was done in the Department of Obstetrics & Gynaecology, in Institute of Child and Mother Health (ICMH), Dhaka. The Study period was 6 months, from May 2015 to October 2015. Results: Baseline characteristics were similar were similar in both groups of patients. There was no intraoperative complication in either either group. Operative time, intraoperative blood loss, time of out-of-bed activity, mean maximum postoperative body temperature and duration of fever were significantly shorter and less severe in the in the Vaginal Hysterectomy group compared to Abdominal hysterectomy group. In addition, vaginal length in the VH group was significantly shorter than AH group. Conclusion: Despite the overwhelming evidence in favour of vaginal hysterectomy, it is not a preferred route for hysterectomy in case of undescended uterus in Bangladesh. The reason for this practice may be lack of controlled evidence in favour of vaginal hysterectomy and lack of expertise & skill of the surgeon in our country.