Cusimano MC, et al. - In this population-based retrospective cohort study involving 958 patients (mean age 45.9 years), experts explored if a surgical approach is related to oncologic outcomes in cervical cancer patients undergoing minimally invasive (MH) or open radical hysterectomy (OH), accounting for mechanistic factors including surgeon volume. Findings suggested that MH is linked with higher death and recurrence rates, even when surgeon volume is controlled for, in patients with stage IB cervical cancer. In this population, OH should be the suggested approach. MH may still be safe in a subset of patients with early-stage microscopic disease, but further studies are needed.