Hysterectomy is common major operation performed in gynecological field practice after Caesarean section. Vaginal hysterectomy is preferred surgery for uterovaginal prolapsed. Vaginal hysterectomy has advantages over abdominal hysterectomy. Post hysterectomy hematomas are responsible for serious morbidity. Ultrasound is an accurate diagnostic tool and so Computed tomography. Conservative management, analgesia and antibiotics will work in small hematoma, but the significant sized hematoma needs surgical drainage and the infected hematoma. Refinement in surgical techniques is recommended to minimize the formation vaginal vault hematomas after vaginal hysterectomy.