In order to care for the gynecologic oncology patient, the basic language must be reviewed. A hysterectomy can be done through an open incision in the abdomen, through the vagina, or laparoscopically. These are respectively called, "TAH, LVH, LAVH" when documented in the medical record. When both ovaries are removed one will see, "BSO" for bilateral salpingo-oophorectomy. A simple vulvectomy is the removal of the vulva, but a radical vulvectomy will include inguinal lymph nodes and usually a wide excisional margin. However, there are new surgical techniques that avoid the morbidity of an abdominal incision. Robotic assisted hysterectomy is the newest techniques utilized in gynecological cancers for debulking, staging, and lymphadenectomy. There is a learning curve for any surgeon using this method, bur the benefits when successful include the following: fewer complications, faster return to normal activities, less pain, a shorter hospital stay, anal less scarring.