Conclusion: ropivacaine 15 mg dose used in spinal anesthesia for total abdominal hysterectomies was anesthesia effective enough for surgery (proportion of good anesthesia was lower in group R compared with group B), the early mobilization occurred during recovery, less common side effects were found compared with bupivacaine 10 mg. Keywords: spinal anesthesia, ropivacaine, total abdominal hysterectomy.