• Patient must have histologically confirmed adenocarcinoma (usual/classic/NOS), squamous cell carcinoma, adenosquamous carcinoma (Including glassy cell)

• Patient must be FIGO Stage IA2, IBI, IB2 (2018 staging) without evidence of definitive parametrial, vaginal, nodal or distant metastases on exam or imaging. Patients with tumor size less than or equal to 4 cm confirmed on MRI prior to randomization are eligible.

• Patient must have uterine size \<12 cm AND felt to be appropriate for vaginal delivery of the specimen per investigator.

• Patient must be suitable surgical candidate with preoperative assessments such as labs and EKG performed per institutional standard and agree to be randomized to undergo open or robotic radical (or simple) hysterectomy.

• NOTE: Simple hysterectomy will be allowed in patients who meet the following criteria:

⁃ pelvic MRI must demonstrate a maximal tumor size of 2 cm or less AND

⁃ less than 50% stromal invasion on MRI if tumor present or less than 10 mm of stromal invasion if an excisional (cold knife or LEEP) has been performed.

• Submission of source documents in the GOG Partners Source Document Portal will be required prior to randomization for review and confirmation of simple hysterectomy being met (see Section 6.0 for instructions).

• Patient must be age 18 years or older.

• Patient must have ECOG performance status 0-1.

• Patient must have a negative urine pregnancy test within 30 days of surgery in pre-menopausal women.

• Patient must have signed an approved informed consent and authorization permitting the release of personal health information.