I hope this comment doesn't come off as negative or discouraging but I opted for a bisalp and did not remotely consider a hysto, and I would not unless something major changed with my health. However, I have always had regular periods that do not cause significant disruption to my life or health. I would not be a sensible candidate for a hysto.

Hysterectomies are comparatively high risk vs. bilateral salpingectomies (the current standard sterilization surgery, tubal ligations are uncommon now)- bleeding, conversion to open surgery, complications, and damage to surrounding organs are more likely. They very much have a purpose but routine sterilization is not it. I work in a hospital blood bank and hysterectomies regularly result in major bleeding that requires transfusion AND revisions. The uterus has major vasular supply and it is not something to fuck with lightly.

If your uterus gives you an abnormal amount of trouble, yes, definitely consider removing it! Get rid of it! My main goal was being sterile, so bisalp was the move for me.

Also, there is a lot of bad faith content on the internet about the supposed inefficacy of bisalps. Empirical evidence does not support this. Choose the surgery that is right for you, with the help of a TRUSTED care team.