INTRODUCTION:: There is a scarcity of literature regarding surgical outcomes after total laparoscopic hysterectomy (TLH). We investigated patient risk and reasons associated with readmission within 30 days after TLH. METHODS:: Medical records of 168 consecutive patients who underwent TLH at a major academic center between 2010 and 2012 were reviewed. Robotic hysterectomies were excluded. Patientʼs age, BMI, and co-morbidities before surgery were collected. Timing, reasons, and management of readmitted patients were evaluated. RESULTS:: Among 168 patients reviewed, 8.9% of patients were readmitted within 30 days (95% CI: 5.5-14.2%). Intraoperative variables revealed the average length of operation (151 ± 52 minutes), average estimated blood loss (90±107 ml), and urine output (350±245 ml). No intraoperative transfusions were performed. Over half (60%) of patients were obese (BMI>30), and associated co-morbidities included anemia (33.3%), depression (26.7%), anxiety (26.7%), hypertension (20.0%), and diabetes (13.3%). The average time until return were 9.0 ± 6.0 days with the main location of readmission through the emergency department (93.3%). Primary chief complaints were pain (86.7%), nausea (33.3%), and vomiting (26.7%). Shortness of breath (13.3%), UTI (13.3%), Fever (13.3%), and bleeding (13.3%) were reported. At readmission, 33% of patients were only observed, while 6.7% received antibiotics, and 73.3% receiving additional pain control. CONCLUSION:: Our study showed that readmission after TLH tend to occur after soon after discharge. Obesity and pain were the most frequent co-morbidity and complaint respectively, requiring readmission within 30 days. Future studies are necessary to identify patients who are at greater risk of readmission to improve surgical outcomes.