This study is to assess the feasibility and outcome of vaginal hysterectomies using bicoagulation forceps. Eighty patients undergoing vaginal hysterectomy for several diagnoses were enrolled. In 40 patients, bicoagulation forceps were used for the entirety of the operation. In 19 patients, only vaginal hysterectomy was performed; in 21 patients, vaginal hysterectomy was part of surgery for pelvic floor repair. Forty control patients were operated on with the traditional technique. Data regarding intra- and postoperative complications, blood loss and duration of the hospital stay were compared. The intra- and postoperative courses were similar in both groups. Intraoperative blood loss appeared less in the Biclamp group, particularly in the vaginal hysterectomy-only subgroup, as confirmed by pre- and postoperative hemoglobin measurements. Postoperative need for pain medication was significantly lower in the bicoagulation group, as was length of postoperative hospital stay. There was one postoperative bleeding complication requiring surgical revision 12 days after the initial surgery in the bicoagulation group. Using bicoagulation forceps without sutures for routine vaginal hysterectomy is a technically feasible and safe alternative to the traditional approach. Complication rates and patient satisfaction are similar. Blood loss and need for pain medication appear to be less in the coagulation group, leading to a reduced length of hospitalization.