Yoga guide

Yoga after a hysterectomy: when to start, the pelvic floor and tummy, keyhole and open surgery, poses to change, and a class

The first exercises after a hysterectomy are already gentle yoga: slow breathing, pelvic floor squeezes, a soft draw-in of the lower tummy, pelvic tilts, knee rolls and heel slides, alongside a daily walk. UK pelvic health physiotherapists start them in the first days. A yoga class comes later, and the advice on when differs: the Royal College of Obstetricians and Gynaecologists (RCOG) allows low-impact sport from 2 to 4 weeks after keyhole or vaginal surgery, while the physiotherapists' booklet puts low-level exercise classes at 6 to 12 weeks after any gynaecological surgery. Your surgical team's advice comes first.

No trial has tested yoga after a hysterectomy, so this guide takes you through the poses in stages, from the first days to a full class, with what changes after keyhole, vaginal or open surgery or a pelvic floor repair, the poses to leave for later, your pelvic floor for life, what happens if your ovaries were removed, yoga before your operation, and the warning signs. Our exercise after a hysterectomy guide covers walking, lifting, driving, work and sex.

The short version

No trial has tested yoga after a hysterectomy

Our searches found one case report and small studies of gentle yoga done in bed around surgery for suspected gynaecological cancer. Yoga goes alongside your surgical team's recovery advice, never ahead of it.

Sources 1, 2, 3

The first exercises start in the first days

A short walk the day after your operation; deep breathing and ankle exercises; pelvic floor squeezes once your catheter is out; then a gentle tummy draw-in, pelvic tilts, knee rolls and heel slides. These are the gentlest yoga you can do.

Sources 4, 5, 6

When a class fits depends on whose advice you read

The RCOG's trackers for keyhole and vaginal surgery allow low-impact sport from 2 to 4 weeks. The pelvic health physiotherapists' booklet puts low-level exercise classes at 6 to 12 weeks after any gynaecological surgery, once bleeding and discharge have stopped, and an NHS hospital leaflet names yoga at 6 to 12 weeks after open surgery. Follow your surgical team.

Sources 7, 8, 6, 9

Keyhole and vaginal surgery: a quicker return

In a review of 63 trials, women got back to normal activities about 11 days sooner after a vaginal and 13 days sooner after a keyhole hysterectomy than after an open one. The NHS says full recovery after an open (abdominal) hysterectomy takes about 6 to 8 weeks.

Sources 10, 4

Gentle movement isn't harder on your tummy than daily life

No study has measured tummy pressure in yoga poses. In a Pilates study, no move pressed significantly harder on average than standing up from a chair, and bridging, all fours and side-lying moves were among the lowest. After prolapse surgery, returning at your own pace did as well as strict limits. The scar still heals more slowly inside than out, so build up in stages.

Sources 11, 12, 13, 14, 15

Your pelvic floor, for life

Keep up your pelvic floor exercises for life, as the RCOG and the physiotherapists advise; pelvic yoga reduced leaks about as much as general exercise, so it goes alongside them. Bladder leaks and prolapse are somewhat more common in the years after a hysterectomy, though many women's symptoms improve.

Sources 5, 6, 16, 17, 18

If your ovaries were removed

The menopause starts straight away, and you should be offered hormone replacement therapy (HRT). Fractures were about 17% more common after both ovaries were removed. Yoga eased overall menopause symptoms a little in natural menopause, but the reviews disagree on hot flushes, and no trial has looked at women after surgery: pair it with strength work.

Sources 19, 20, 21, 22

A hysterectomy, and what yoga asks of a healing body

The operation

A hysterectomy removes the womb, and sometimes the cervix, tubes and ovaries too. It's done through a cut in the tummy (abdominal, or open), through the vagina, or by keyhole surgery (laparoscopic). After keyhole surgery you have 2 to 4 small scars of 0.5 to 1 cm; an open cut is about 10 cm; after a vaginal hysterectomy the scar is at the top of the vagina. Our exercise after a hysterectomy guide explains the types in full.

Sources 19, 23, 7, 5, 24

Inside and outside

The RCOG: "There is no evidence that normal physical activity levels are in any way harmful and a regular and gradual build-up of activity will assist your recovery." The physiotherapists' booklet: "although the outside scar can heal very quickly, it takes longer to heal on the inside; allow yourself time to recover fully."

Sources 5, 6

The first weeks

Vaginal discharge is normal for a while: the NHS says it "may last up to 6 weeks". Shoulder pain is common after keyhole surgery. Tiredness is common too, and the RCOG says rest "does not mean doing nothing at all": light activity around the house helps from the first few days.

Sources 4, 7, 5

What a yoga class asks

Getting down to the floor and up; lying on your back; all fours; seated and standing poses; strong core poses (boat, plank, chaturanga); backbends that stretch the front of the tummy; twists; poses that fold the legs over the tummy or go upside down; deep squats; and breathing practices, including fast, forceful breathing. The questions after surgery are the scar (pulling, a bulge or doming along it), bleeding, tiredness and the pelvic floor (heaviness or leaking). This is our description, to help you choose.

Where women differ

The type of operation, a pelvic floor repair at the same time, a cancer operation, complications and how fit you were before all change the timing. The physiotherapists' booklet: "Rates of recovery will vary and may depend on your age, lifestyle and fitness level before the operation." Write your own timeline with your team, not from a calendar.

Sources 6, 25, 26

When to start yoga

Neither set of timings has been tested in trials. Your own surgical team's advice comes first, especially after a pelvic floor repair or if you had complications.

From the first days: the gentlest yoga

Breathing, ankle exercises, pelvic floor squeezes once the catheter is out, and the early tummy exercises in stage 1 below. Walk every day, building up: the RCOG says many women can walk for 30 to 60 minutes after 2 or 3 weeks.

Sources 4, 5, 6

The RCOG's trackers

After keyhole or vaginal surgery, the trackers suggest low-impact sport from 2 to 4 weeks and your usual exercise by 4 to 6 weeks. After any of the operations, most women are back to their previous activity within 4 to 6 weeks if they build up gradually, and "Contact sports and power sports should be avoided for at least six weeks".

Sources 7, 8, 5

The pelvic health physiotherapists' booklet

Up to 6 weeks: pelvic floor and early tummy exercises and daily walking. From 6 to 12 weeks: "Try low impact exercises such as swimming, cycling, low level pilates, a cross-trainer, more vigorous walking or gentle aerobics. Make sure that any vaginal discharge or bleeding has stopped before you do". From 3 months: more active exercise, including high impact. The booklet doesn't mention yoga.

Source 6

An NHS hospital leaflet names yoga

After open gynaecological surgery, a Norfolk and Norwich physiotherapy leaflet says to avoid lifting anything heavier than a kettle for 6 weeks, then: "You might want to start doing more exercise such as pilates, yoga, cycling, swimming (if your bleeding has settled)."

Source 9

What to make of the difference

Gentle, low-level yoga fits the low-impact exercise all these sources describe; a flowing class with planks, chaturanga, boat pose and deep backbends doesn't. So follow your team, and use the stages below rather than a date: move on when the last stage is easy and nothing pulls or bulges at a scar. The stages are our suggestion and haven't been tested.

Tell your teacher

The booklet: "If you are exercising with an instructor make sure that you tell them that you have had a recent gynaecological operation".

Source 6

What the evidence says

No trial has tested yoga after a hysterectomy. The timings are expert advice; the evidence below is about recovery, tummy pressure, activity limits and breathing.

No trial of yoga after a hysterectomyStrong evidence

Our searches of PubMed, Europe PMC and ClinicalTrials.gov in November 2026 found no randomised trial of yoga after a hysterectomy.

Source 1

Small studies around cancer surgeryMixed evidence

In a pilot trial of 31 women having surgery for suspected gynaecological cancer, short daily videos of gentle movements "adapted to be taught in a bed", with breathing, eased pain a little more than a comparison programme over 4 weeks, with no side effects. The authors warn the results may not be stable in so small a study, and it doesn't say how many had a hysterectomy. Women said it relieved tension and helped them sleep.

Sources 27, 3, 28

One case reportMixed evidence

One woman added yoga and Pilates from the second or third week after an open hysterectomy, including bow and boat pose. A single case can't show an effect, and those poses so soon after an open cut aren't what UK advice suggests; the report itself advises avoiding "all high-impact exercises until at least 12 weeks post surgery".

Source 2

Recovery by type of operationStrong evidence

In a Cochrane review of 63 trials (6,811 women), women got back to normal activities about 11 days sooner after a vaginal hysterectomy than an open one (moderate certainty) and about 13 days sooner after keyhole surgery (low certainty). Vaginal and keyhole surgery didn't clearly differ.

Sources 10, 30

No study has measured tummy pressure in yoga posesStrong evidence

Our search found 4 records on yoga and pressure in the tummy, and none measured it across yoga poses. Our yoga for the pelvic floor guide says the same.

Source 11

Tummy pressure in PilatesEmerging evidence

In 18 healthy women with Pilates experience (20 took part), no move's average peak pressure was significantly above standing up from a chair; the roll-up kept pressure high the longest, and bridging, the side kick and all fours were among the lowest. None had just had surgery, and the authors say no study shows how pressure affects healing. Yoga's bridges, all-fours poses and side-lying work are the same kinds of movement (our reading).

Source 12

Everyday tasks and pressureEmerging evidence

In 30 women, many lifts and climbing stairs raised tummy pressure no more than getting out of a chair; coughing raised it most in 57 women, and standing up raised it more than lifting 20 lb (9 kg) in 147 women with pelvic floor problems. Pressures in activities that are and aren't restricted after surgery "overlap considerably".

Sources 13, 31, 32, 33

Activity limits are expert adviceEmerging evidence

No trial has tested activity limits after a hysterectomy alone. After prolapse surgery, 108 women told to return at their own pace were as satisfied at 3 months as those given 3 months of limits (98% against 94%), and 5 trials of 434 women agreed. A 2013 review found no study linking activity after pelvic floor surgery with how well the repair held.

Sources 14, 15, 33

Which poses use the pelvic floorMixed evidence

In a small lab study, locust used the pelvic floor muscles most of four poses, and side angle more than planks. In 15 women after birth, a crunch widened the pelvic floor opening, unlike a pelvic floor squeeze. Neither was after surgery: they show which poses use the pelvic floor, not which are safe when.

Sources 34, 35

Fast, forceful breathingMixed evidence

In 15 yoga teachers with no comparison group, fast, forceful yoga breathing (kapalabhati and bhastrika) likely raised tummy pressure, with a mixed picture at the bladder neck. That supports leaving it until later (our reading), not a claim that it harms.

Source 36

Belly breathing for shoulder-tip painEmerging evidence

In 74 women after a keyhole hysterectomy, slow belly breathing for 5 minutes, three times a day, eased shoulder-tip and neck pain faster than gentle neck stretches, with no side effects. The pain tends to settle on its own anyway.

Source 37

Getting up early, and blood clotsStrong evidence

Guidelines say to get moving within 24 hours of surgery. Blood clots within 30 days were uncommon in 89,931 Danish women: about 1 in 400 after open surgery, and fewer after keyhole or vaginal surgery. The top of the vagina opening up after keyhole or robotic surgery is rare (0.7%), and smoking raises the risk.

Sources 38, 39, 40

How to do pelvic floor exercises

These are our exercise after a hysterectomy guide's steps, word for word, from the RCOG and the pelvic health physiotherapists' booklet. In yoga, lift as you breathe out and let go as you breathe in. Don't practise by stopping your pee mid-flow.

  1. Start once your catheter is out and you can pee on your own, even if you have stitches. Lie down or sit comfortably at first.
  2. Imagine you're trying to stop yourself passing wind and peeing at the same time. You should feel a squeeze and a lift inside your vagina. Breathe normally and don't clench your buttocks.
  3. Long squeezes: tighten, hold for up to 10 seconds, then let go fully and rest.
  4. Short squeezes: tighten quickly and let go straight away.
  5. Build up to 10 long squeezes and 10 short ones, at least 3 times a day, starting with fewer if your muscles tire. As they get easier, do them standing and while you move.

See the movement on the 3D figure: Pelvic floor exercise (Kegel)

Your pelvic floor after a hysterectomy

Training after surgeryEmerging evidence

Across 6 trials of 776 women, pelvic floor training after a hysterectomy improved sexual function by about 5 points on a 36-point scale (moderate-quality evidence). Its effects on leaking, strength and quality of life were unclear, and it didn't change prolapse.

Source 41

Around prolapse surgeryEmerging evidence

Adding pelvic floor training before and after prolapse surgery didn't improve bladder or prolapse results in trials of 374 and 51 women. The exercises are for your pelvic floor's long-term health, as the RCOG and the booklet say, not a proven way to speed recovery (our reading).

Sources 42, 43

The pelvic floor later in lifeEmerging evidence

Across 60 studies, leaking and, after 10 years, prolapse were somewhat more common after a hysterectomy; prolapse surgery was needed by about 1% of women at 3 years and 5% at 15 years. These are links, not proof the operation was the cause, and in a Swedish study women had fewer pelvic floor symptoms 5 years after surgery than before.

Sources 17, 44, 45, 18

What yoga does for the pelvic floorStrong evidence

In the largest trial, 240 women aged 45 to 90 who leaked every day did 12 weeks of pelvic yoga or general stretching and strengthening: leaks fell by about 2 a day in both groups, with no clear difference. Women who'd had a hysterectomy took part, but not those with pelvic surgery in the past 3 months. Yoga goes alongside pelvic floor exercises, never instead of them.

Sources 16, 46

Stage 1: from the first days

Slow breathing: 2 minutes, in for about 4 and out for about 6, no holds (our postnatal yoga class). Ankle circles: 30 seconds pumping, then 30 seconds circles, each foot, every few hours until you're moving about normally; pelvic floor: up to 10 long squeezes and 10 short ones, once your catheter is out; tummy draw-in: 5 to 10 holds of 2 to 3 breaths; pelvic tilt: up to 10 tilts, holding 3 seconds, tilt only; knee rolls: 3 to 5 each way, a small way (our exercises after a hysterectomy routine). Heel slides: "10 slow repetitions each side, once or twice a day" (the move page's dose). Walk every day.

Stage 2: when stage 1 is easy

Knee fold: "2 sets of 5 to 10 each side, every other day"; bent-knee fall-out: "2 sets of 5 to 10 each side, every other day" (the move pages' doses). Glute bridge: 5 to 10, peeling up a small way at first (our exercises after a hysterectomy routine). Cat-cow: 6 slow waves, small range; bird dog, one limb at a time: 5 each arm and leg; breath reach, sitting: 5 breaths; mountain pose: 5 slow breaths; sit to stand: 8, squeezing your pelvic floor as you stand; tree pose: 3 breaths each side, heel at your ankle, fingertips on a wall (our postnatal yoga class).

Stage 3: a low-level class

Only when stage 2 is easy, bleeding and discharge have stopped, your team agrees and nothing pulls or bulges at a scar. Warrior II: 3 breaths each side, a short stance (our postnatal yoga class). Chair pose: 3 holds of 5 breaths; triangle: 3 breaths each side, hand on your shin or a block (our yoga for the pelvic floor class). High lunge: 3 to 5 breaths each side, back knee down if you wobble (our yoga for posture class). Heel taps: 6 each side, head down; knee plank: 3 holds of 10 to 20 seconds, breathing throughout (our Pilates after tummy surgery class). Child's pose: 30 to 60 seconds, knees wide; skip it if it presses on your scar (our postnatal yoga class).

Poses to leave for later

Our suggestion, from the booklet's 3 months for more vigorous exercise, the site's cautions for tummy surgery and our yoga for the pelvic floor guide. Bring them back one at a time, once stage 3 is easy and nothing pulls or bulges, and later still after a pelvic floor repair.

Strong core poses

Boat pose, full planks and chaturanga: after the stages above, one at a time. The site's cautions put sit-ups and double leg raises after gentler core work following tummy surgery.

Source 6

Deep backbends

Camel, wheel, bow, upward dog and full cobra stretch the front of the tummy: wait until your scar is comfortable to stretch. In a yoga study, women with gynaecological cancer named cobra after a long tummy cut as a pose to avoid.

Source 29

Deep twists

Half lord of the fishes and revolved chair: the same, as our postnatal yoga class says to leave twists and backbends until a scar is comfortable.

Plough, shoulder stand and headstand

They fold the legs over the tummy or put weight on the neck: leave them for later, and follow the head-down advice in the warning signs.

Sources 74, 68

Deep squats

Garland and long deep squats load the pelvic floor: after a pelvic floor repair, ask a pelvic health physiotherapist first.

Fast, forceful breathing and breath holds

Leave out kapalabhati, bhastrika and breath holds while you heal, and breathe slowly instead.

Sources 36, 68

Hot yoga

Wait until your wounds have healed, any bleeding has stopped and you're back to your usual exercise; the NHS says you can swim "after your wounds have healed". Start with room-temperature classes.

Source 4

Keyhole, vaginal and open surgery, and a pelvic floor repair

Keyhole or vaginal surgery

Recovery is usually quicker, and the RCOG's trackers allow low-impact sport from 2 to 4 weeks. The stages are the same; you'll often move through them faster.

Sources 7, 8, 10

Open (abdominal) surgery

The longer cut through the tummy wall takes longer to settle: the NHS says full recovery takes about 6 to 8 weeks, and the NHS hospital leaflet suggests yoga from 6 to 12 weeks. Take the strong core poses and backbends slowly.

Sources 5, 9, 4

With a pelvic floor repair

Slower again: the RCOG keeps to light loads for the first month, and the booklet says some exercises with heavy straining may need to be avoided for life. Ask a specialist pelvic health physiotherapist before the strong core poses and deep squats, and use our yoga for prolapse guide's swaps.

Sources 25, 6

If your ovaries were removed

Surgical menopause

If both ovaries are removed, the menopause starts straight away, whatever your age, and symptoms can be more sudden. The NHS says you should be offered HRT, and that if both ovaries were removed, it's important to keep taking it until the usual age of the menopause (51 on average) if you can. The National Institute for Health and Care Excellence (NICE) asks doctors to offer support before and after.

Sources 19, 47, 50, 49

Bones and the heartEmerging evidence

An early menopause raises the risk of osteoporosis and heart disease, the NHS says. In observational studies, fractures were about 17% more common after both ovaries were removed, and heart disease when they were removed before the menopause but not after; most studies didn't account for HRT, so these are links, not proof of cause.

Sources 48, 20, 51, 52

What yoga does for menopause symptomsMixed evidence

In natural menopause, yoga eased overall symptoms about as much as other exercise across 13 trials, but the reviews disagree on hot flushes: one found a small effect, and a 2025 review of 24 trials found no clear effect against usual care. Our search found no trial in women after their ovaries were removed; one is registered. So using yoga for symptoms after surgery is an extrapolation.

Sources 21, 22, 53, 54

Pair it with strength work

NICE asks doctors to explain "the importance of maintaining muscle mass and strength through physical activity", and the NHS suggests relaxing activities such as yoga alongside weight-bearing exercise for your bones. Once you've recovered, our yoga for menopause and yoga for osteoporosis guides cover both.

Sources 49, 55, 56

Yoga before your operation

Being fit before surgery helps

The NHS: "Good health before your operation will reduce your risk of developing complications and speed up your recovery." The physiotherapists' booklet suggests practising your exercises before you go into hospital: the breathing, pelvic floor and early tummy exercises you'll use afterwards.

Sources 23, 5, 6

Calm before surgeryEmerging evidence

In reviews of surgery in general, preparing people psychologically eased pain a little and shortened hospital stays (low-quality evidence), and mindfulness before surgery eased anxiety a little. Slow breathing is a gentle way to practise; no study has tested yoga before a hysterectomy.

Sources 58, 59

PrehabilitationMixed evidence

Exercise programmes before surgery have been studied mostly before cancer surgery: in 60 women before ovarian cancer surgery, a programme that included yoga-based physiotherapy went with a shorter hospital stay, though its parts can't be separated. Evidence for the pelvic floor is very low certainty, and no trial has tested yoga before a hysterectomy for a benign condition.

Sources 57, 60, 61

Feelings after a hysterectomy

Tired and tearful is common

The NHS says you may feel "a sense of loss and sadness", and the RCOG that many women feel "tearful and emotional at first", often the last thing to improve. Gentle yoga and slow breathing can help you rest. See a GP if low mood doesn't lift.

Sources 4, 5

Weight

Average weight change in the year after a hysterectomy is small, and Women's Health Concern says "There is no reason why you should gain weight after a hysterectomy." Yoga is for strength and comfort, not for changing how your tummy looks.

Sources 62, 26

Classes

Our 25-minute gentle yoga after a hysterectomy class follows the three stages, with a stop point after each: start stage 1 in the first days, and add the next stage when the last is easy. The exercises after a hysterectomy routine covers the first 6 weeks, and the daily pelvic floor workout is for life. Later, when your team agrees, the yoga for the pelvic floor class, gentle yoga for beginners and restorative yoga; and once you've recovered, yoga for menopause if your ovaries were removed.

Gentle yoga after a hysterectomy: a 25-minute class in three stages, with a stop point after each

A gentle 25-minute yoga class for after a hysterectomy, in three stages with a stop point after each: breathing, pelvic floor and tummy, then all fours, then standing.

25 minBeginner17 movesBench or box, firm cushion

Exercises after a hysterectomy: the first 6 weeks

A gentle 15-minute routine for the first 6 weeks after a hysterectomy: circulation and breathing, pelvic floor and deep tummy exercises, then a daily walk.

15 minBeginner11 movesCardio machine

Daily pelvic floor workout

A 5-minute daily pelvic floor workout for women and men: slow holds and quick squeezes, three times a day, with how to find the right muscles.

5 minBeginner2 movesNo equipment

Yoga for the pelvic floor: a 30-minute class with the squeeze built in

A 30-minute yoga class for your pelvic floor: poses from a trial programme, a gentle lift as you breathe out, a full release, and supported rest poses.

30 minBeginner17 movesStep, firm cushion

Gentle yoga for beginners

A 25-minute gentle yoga class for complete beginners and over-50s: slow breathing, a warm-up, supported standing poses, floor poses and a closing rest.

25 minBeginner14 movesNo equipment

Restorative yoga sequence: 45 minutes of supported rest

A 45-minute restorative yoga sequence: five fully supported poses held for 4 to 10 minutes each, with slow breathing and a long final rest.

45 minBeginner6 movesFirm cushion, wall

Seated chair yoga: 15 minutes, no standing

A 15-minute chair yoga routine done entirely sitting: slow breathing, neck, shoulder and wrist stretches, seated twists and side bends, and a calm finish.

15 minBeginner16 movesBench or box

Yoga for menopause: a 35-minute practice for strength, balance and winding down

Thirty-five minutes of standing strength, balance, back strengthening and a long relaxation for the menopause, with no deep forward folds or shoulder stands.

35 minBeginner15 movesFirm cushion

Pelvic floor relaxation exercises

An 8-minute routine for a tight pelvic floor: slow breathing and comfortable positions to help the muscles let go, with no strengthening squeezes.

8 minBeginner5 movesFirm cushion

Breathing exercises to relax

A 6-minute breathing routine: slow breathing, crocodile breathing, alternate nostril breathing, box breathing and 4-7-8 breathing.

6 minBeginner5 movesNo equipment

When to get help

These are the warning signs from our exercise after a hysterectomy guide, word for word. Your surgical team's advice comes first. This is general information, not a diagnosis. A&E means accident and emergency; in the US, call 911 for 999.

Get medical advice from your GP, your hospital, or NHS 111 (NHS 24 in Scotland) if you have

  • Burning or stinging when you pee, or peeing often: possibly a urine infection.
  • Vaginal bleeding that becomes heavy or smelly, especially if you feel unwell or have a temperature.
  • Red and painful skin around your scars: possibly a wound infection.
  • Tummy pain that keeps getting worse, especially with a temperature, loss of appetite or vomiting.
  • A painful, red, swollen, hot leg, or difficulty bearing weight on your legs: possibly a blood clot (deep vein thrombosis, DVT).

Sources 5, 7, 8

Call 999 (911 in the US)

Shortness of breath, chest pain or coughing up blood can mean a blood clot has travelled to your lungs: get help immediately. Don't drive yourself to A&E.

Sources 5, 63

See a GP

  • Low mood that doesn't lift.
  • A heavy, dragging feeling or a bulge in your vagina, or problems peeing or pooing.
  • Leaking when you cough, sneeze or exercise: our pelvic floor guide can help too.
  • You're following all the advice but don't feel you're at the stage you ought to be.

Sources 4, 65, 64, 5

During or after a yoga session

If something hurts, do a little less for a few days (RCOG), and stop anything that feels uncomfortable (POGP). New or heavier bleeding, a heavy or dragging feeling, or leaking during exercise are reasons to drop back and get advice (our suggestion).

Our suggestion: stop a pose if your tummy domes or bulges along a scar, or a scar pulls, and drop back a stage.

A joint pain that is sharp, gets worse during a session, lingers into the next day or changes how you move is a reason to use an easier version, and to see a GP or physiotherapist if it keeps happening (the rule in our plans). Muscle soreness for a day or two after something new is normal. In a hot class, stop if you feel dizzy, sick or unwell; our hot yoga guide lists the signs of heat illness.

You can say no to any hands-on adjustment, and a teacher registered with Yoga Alliance must get your explicit consent each time.

Sources 5, 6, 64, 68, 69

Who to see

Your hospital team or GP for problems with your wound, bleeding or pain; a specialist pelvic health (women's health) physiotherapist for pelvic floor problems, or for advice on lifting and high-impact exercise, especially after prolapse surgery.

Sources 5, 6

If you need help now

If you are thinking about suicide or can't keep yourself safe, call 999 or go to A&E (accident and emergency). For urgent help, call Samaritans free on 116 123, any time, or in England call 111 and select the mental health option. In the US, call or text 988.

Sources 65, 66, 67

Chest pain or fainting while exercising: call 999

Call 999 if:

  • You get sudden pain or discomfort in your chest that doesn't go away; it can feel like squeezing or pressure, burning or indigestion.
  • The pain spreads to your left or right arm, or your neck, jaw, stomach or back.
  • You have chest pain and feel sweaty, sick, light-headed or short of breath.
  • Someone faints while exercising, can't be woken within 1 minute, or has chest pain or a pounding, fluttering or irregular heartbeat.

Sources 70, 71, 72

Unusual breathlessness

Call 999 or go to A&E (accident and emergency) straight away for severe difficulty breathing (gasping, choking or not able to get words out), a chest that feels tight or heavy, pain that spreads to your arms, back, neck and jaw, lips or skin turning very pale, blue or grey, or sudden confusion. If you're more short of breath than usual, or your heart is racing, fluttering or skipping beats, contact NHS 111.

Source 73

Head-down poses, bones and pregnancy

With glaucoma, or high blood pressure that isn't under control, skip headstands, shoulder stands and long head-down holds. With osteoporosis, swap deep forward folds for a flat-back hinge from the hips, and twist smoothly. In pregnancy, our yoga in pregnancy guide covers the changes. NCCIH advises beginners to avoid headstands, shoulder stands, the lotus position and forceful breathing.

Sources 74, 68

Before you start

The NHS advises getting advice from a healthcare professional first if you have a health problem, an injury or symptoms, or have recently had a heart attack or an operation.

Myths

"You must avoid all exercise for months after a hysterectomy"Strong evidence

Walking starts the day after, and breathing, pelvic floor and gentle tummy exercises in the first days. What waits is heavy lifting, high impact and strenuous core work, for weeks to 3 months depending on the operation and whose advice you follow.

Sources 4, 5, 6

"Yoga speeds healing after a hysterectomy"Strong evidence

No trial has tested it. Gentle movement and walking are part of every UK recovery plan, but no study shows yoga itself heals the scar or shortens recovery.

Source 1

"Pelvic floor exercises are only squeezes"Strong evidence

They're squeezes and full releases: the booklet's long holds are each followed by relaxing the muscles for 10 seconds, and a squeeze before you cough, sneeze or lift is part of it too. A pelvic floor that can't relax needs relaxation work, not more squeezing: our yoga for the pelvic floor guide covers both.

Source 6

"Yoga can replace pelvic floor exercises"Strong evidence

In the largest trial, pelvic yoga reduced leaks about as much as general stretching and strengthening, and no more. Do both.

Source 16

"If you lift or exercise, your insides will fall out"Emerging evidence

Prolapse needing surgery after a hysterectomy is uncommon (about 1% at 3 years and 5% at 15 years), many everyday lifts press on the tummy no harder than getting out of a chair, and after prolapse surgery returning at your own pace did as well as strict limits. The scar still needs time to heal inside, so build up in stages.

Sources 45, 13, 14, 6

"Yoga will flatten your tummy after a hysterectomy"Emerging evidence

Average weight change is small, and swelling settles with time. Yoga is for strength and comfort, not a look.

Sources 62, 26

"Yoga is only for flexible people"

The poses that matter after surgery are breathing, the pelvic floor, lying poses and standing poses at a wall; none needs flexibility (our reading).

Questions people ask

When can I do yoga after a hysterectomy?

Gentle yoga-like exercises start in the first days: breathing, pelvic floor squeezes once your catheter is out, a soft tummy draw-in, pelvic tilts, knee rolls and heel slides. A class comes later: the RCOG's trackers allow low-impact sport from 2 to 4 weeks after keyhole or vaginal surgery, and the physiotherapists' booklet puts low-level classes at 6 to 12 weeks after any gynaecological surgery. Your surgical team's advice comes first.

Can I do yoga 2, 3 or 4 weeks after a hysterectomy?

Lying, all-fours and wall-supported poses from the stages in this guide, yes, if they feel comfortable and your team agrees. A gentle class at 2 to 4 weeks fits the RCOG's trackers after uncomplicated keyhole or vaginal surgery; after open surgery or a pelvic floor repair, wait longer.

Is yoga different after keyhole, vaginal or abdominal surgery?

The poses are the same, but the timing differs: on average women return to normal activities about 11 days sooner after a vaginal and 13 days sooner after a keyhole hysterectomy than after an open one. After a pelvic floor repair, the RCOG keeps to light loads for the first month.

Which yoga poses should I avoid after a hysterectomy?

For now, strong core poses (plank, boat, chaturanga), deep backbends that stretch the front of your tummy, deep twists, plough and shoulder stand, deep squats and fast, forceful breathing. Bring them back one at a time once a gentle class is easy and nothing pulls or bulges at a scar, and leave anything vigorous until about 3 months.

Which yoga poses are safe after a hysterectomy?

No pose has been tested after surgery, and no study has measured tummy pressure in yoga poses. The physiotherapists' early exercises come first; in a Pilates study, bridging, all fours and side-lying moves pressed on the tummy no harder than standing up from a chair.

Should I tell my yoga teacher about my hysterectomy?

Yes: the pelvic health physiotherapists' booklet says to tell any instructor about a recent gynaecological operation. You can also say no to any hands-on adjustment.

Will yoga help my pelvic floor after a hysterectomy?

Pelvic floor exercises are what the RCOG and the physiotherapists recommend, for life. In the largest trial, pelvic yoga reduced leaks about as much as general exercise, so use it alongside your daily squeezes, not instead of them.

My ovaries were removed. Can yoga help with the menopause?

In natural menopause, yoga eased overall symptoms a little, about as much as other exercise, but the reviews disagree on hot flushes, and no published trial has tested it after the ovaries are removed. HRT is the main treatment, and the NHS says you should be offered it. Pair yoga with strength work for your bones.

Can I do hot yoga after a hysterectomy?

Wait until your wounds have healed, any bleeding has stopped and you're back to your usual exercise (our suggestion). Heat adds strain to a body that's still recovering, so start with room-temperature classes.

Can yoga help me lose belly fat after a hysterectomy?

No exercise burns fat from one place, and average weight change after a hysterectomy is small. Swelling around the tummy settles with time. Yoga builds strength and helps you feel at home in your body; our exercise after a hysterectomy guide covers weight.

Can yoga help me prepare for a hysterectomy?

Being fit before surgery helps, and the physiotherapists' booklet suggests practising your exercises before you go into hospital. Slow breathing is a gentle way to manage nerves. No trial has tested yoga before a hysterectomy for a benign condition.

I feel low after my hysterectomy. Is that normal?

It's common: the NHS says you may feel a sense of loss and sadness, and many women feel tearful and emotional at first. Gentle yoga and slow breathing can help you rest, but see a GP if low mood doesn't lift, and get help straight away if you're thinking about suicide.

Sources

  1. PubMed · Our search for yoga and hysterectomy (with searches for gynaecological surgery in PubMed, Europe PMC and ClinicalTrials.gov): no trial of yoga after a hysterectomy (2 November 2026)
  2. Dubey 2023 · Yoga and Pilates after an abdominal hysterectomy in one woman (case report, Cureus; read in full)
  3. Sohl 2023 · Remote mindful movement and breathing around gynaecological cancer surgery: 31 women (randomised pilot trial, J Psychosoc Oncol; read in full)
  4. NHS · Hysterectomy: recovery (past its review date: reviewed October 2022, review due October 2025)
  5. RCOG 2025 · Abdominal hysterectomy: recovering well
  6. POGP 2017, updated 2022 · Fit following Surgery: advice and exercise following gynaecological surgery (physiotherapy booklet, past its review date: reviewed 2022, review due 2025; read in full)
  7. RCOG 2025 · Laparoscopic hysterectomy: recovering well (with its recovery tracker)
  8. RCOG 2025 · Vaginal hysterectomy: recovering well (with its recovery tracker)
  9. Norfolk and Norwich University Hospitals NHS · Exercises after abdominal gynaecological surgery (physiotherapy leaflet, past its review date: approved May 2023, review due May 2026)
  10. Pickett 2023 · Surgical approach to hysterectomy for benign disease: 63 trials, 6,811 women (Cochrane review)
  11. PubMed · Our search for yoga poses and pressure in the tummy: 4 records, none measured pressure in yoga poses (2 November 2026)
  12. Coleman 2015 · Pressure in the tummy during Pilates in 20 healthy women (lab study, Int Urogynecol J; read in full)
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  22. Wang 2025 · Yoga for menopausal symptoms: 24 trials, 2,028 women (systematic review and meta-analysis, Int J Nurs Stud; a published comment exists that we couldn't read)
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  63. NHS · DVT (deep vein thrombosis) (last reviewed April 2026)
  64. NHS · Pelvic organ prolapse (last reviewed July 2025)
  65. NHS · Where to get urgent help for mental health (past its review date: reviewed April 2023, review due April 2026)
  66. Samaritans · Contact a Samaritan: 116 123, free, any time
  67. 988 Suicide and Crisis Lifeline (US): call or text 988
  68. NCCIH 2023 · Yoga: effectiveness and safety (US National Center for Complementary and Integrative Health)
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  70. NHS · Chest pain (past its review date: reviewed August 2023, review due August 2026)
  71. NHS · Heart attack (last reviewed March 2026)
  72. NHS · Fainting (last reviewed August 2026)
  73. NHS · Shortness of breath (last reviewed January 2024)
  74. Jasien 2015 · Eye pressure in four common yoga positions: 10 people with glaucoma and 10 without (lab study, PLoS One)

Exercise education, not a personal prescription, and clinical review of these guides is pending. If you are pregnant, have a health condition such as glaucoma, high blood pressure or osteoporosis, or have had recent surgery, check with a doctor, midwife or physiotherapist before starting, and stop for sharp or increasing pain. Health disclaimer.