Keurentjes JHM, et al. – A multicenter, retrospective, cohort study was performed in the Netherlands to evaluate whether surgical volume of laparoscopic hysterectomies (LHs) performed by proven skilled gynecologists had an impact on the conversion rate from laparoscopy to laparotomy. Observations revealed that a higher annual surgical volume of LHs by proven skilled gynecologists had inverse relation to the conversion rate to laparotomy, and results in a lower strategic conversion rate.