Background: UVP is a significant Public Health Problem in Nepal. This problem is mainly prevalent in rural areas where the women are socio – economically less privileged and cannot afford the costs of treatment.

Objective: An analysis of peri operative and post operative complications of vaginal hysterectomies for pelvic organ prolapse.

Materials and methods: A hospital based prospective study was carried out in the department of obstetrics and gynaecology, NGMC followed up from the time of operation to time of discharge.

Results: 632 cases underwent vaginal hysterectomy with fi nancial support from UNFPA. There were no operative complications. The most common post operative complications as noted were retention of urine, pelvic infection & pelvic abscess. In two cases laparotomy was done for haemoperitoneum. Pelvic abscess was drained vaginally. Mortality was nil.

Conclusion: Proper screening before operation is the key to reduce operative as well as peri operative complications.