ntroduction: Total hysterectomy is one of the most common surgical interventions in gynaecology, the frequency of which varies from 30% to 60%, according to various authors. Moreover, the number of performed extirpation of the uterus has been steadily growing every year. The most common indications for uterine extirpation are uterine fibroids, abnormal uterine bleeding that cannot be treated conservatively, as well as cervical and endometrial cancer. Objective: Developing effective methods of surgical prevention and correction of vaginal vault prolapse in obese women undergoing a total hysterectomy Methods: This article describes an individual approach to the prevention of vaginal vault prolapse after total hysterectomy in obese women. The article discusses the features of total hysterectomy in 121 patients with obesity. The author compares 2 surgical tactics for the prevention of apical prolapse after a total hysterectomy. Results: Long-term results were studied from 2 months to 2 years; the majority of women who operated on the improved technology were satisfied with the results of operations. Everyone noted an improvement in the quality of life related to health. Conclusion: The proposed parameters of the method allow achieving the set technical result: reducing the risk of early and late postoperative development in hospitals of any level.