The majority of radial hysterectomy (RH) carried out in the latter half of the twentieth century can be divided into two procedures: (a) non–nerve-sparing RH accompanied with excision of the lateral rectal ligament, a procedure, which was inherited from the L&S and Okabayashi procedures (Latzko and Schiffmann 1919; Okabayashi 1952a) and (b) nerve-sparing RH (Hoshiba et al. 2000; Yabuki et al. 2005; Yabuki 2019), accompanied with non-excision of the lateral rectal ligament advocated by the author. From a viewpoint of QOL, the L&S and Okabayashi procedures are provisionally designated as a conventional RH. The anatomy proposed by Savage/Kocks and Mackenrodt in the nineteenth century is referred to as classical anatomy (Mackenrodt 1895; Speert 1996; Savage 1870). Furthermore, Höckel’s TMMR cannot be considered as a subject for discussion in the context of RH, for it is viewed as a modified Wertheim procedure, or semi-RH.