The results of the LACC trial, along with numerous observational studies, demonstrating worse disease-free survival and overall survival when performing minimally invasive radical hysterectomy have led NCCN, ESGO, ESMO, and FIGO guidelines to support the open approach when performing radical hysterectomy for early cervical cancer. Some have suggested avoiding use of uterine manipulator or performing vaginal protective maneuvers to avoid tumor spillage; however, these recommendations are based on retrospective observations in studies where evaluation of those factors was not the primary objective nor were they powered to answer such questions. Until further evidence, open radical hysterectomy should be the standard of care.