This video describes an innovative approach to vaginal hysterectomy using the KARL STORZ VITOM Exoscope in combination with the Image 1® system of image enhancement tools. In the demonstration clip, a conventional Image 1® HD image is compared with a view selected from the primary menu that uses the Image 1® CLARA™ image enhancements. The clip shows a view with illumination provided only by the boom lights, as well as another that is illuminated by the VITOM with Image 1® CLARA.