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Knowledge of and experience with the basic technique of vaginal hysterectomy is not univers al. Each surgeon must learn to identify and appreciate the dimensions of individual variation in anatomic findings and therefore surgical technical decisions and their execu- tion from one patient to another. Unexpected surgical difficulty can be predicted, but ultimately it is dealt with retrospectively. Skilled practitioners must study the particular patient and her problem comprehensively and allow for such individual variations in find- ings and technical needs as are necessary to the surgical...