Objective: The purpose of this study was to demonstrate the safety of minilaparotomy hysterectomy with adnexectomy in the cases of atypical endometrial hyperplasia. Material and methods: Twelve patients were qualified for hysterectomy according to the gynaecological and sonographic examination. All women had a biopsy of the endometrium and the histopatological report confirmed the atypical endometrial hyperplasia. The incision of abdominal layers not exceeding 6 cm in length is called minilaparotomy. Results: The mean operating time of the surgery was 49.1 min. (35-80 min.). Estimated blood loss was 100-300 ml and the pain was 3.4 points in VAS scale on first day after operation. Hospitalisation after operation was 2 to 5 days (average 3.7). In two cases a temperature higher than 38˚C was observed on the second day after the operation. Those patients were subsequently treated with cefalosporin. Conclusions: Minilaparotomy hysterectomy may be designed for a selected group of patients with atypical hyperplasia of the endometrium.