Get It Out: On the Politics of Hysterectomy

Winner, 2026 Sociology of Sex and Gender Distinguished Book Award, given by the American Sociological Association, Sex and Gender Section

Winner, 2026 Robert K Merton Book Award, given by the American Sociological Association, Science, Knowledge, and Technology Section

An examination of hysterectomy and the struggle for bodily and reproductive autonomy

At least one hysterectomy is performed every minute of the year, making it the most common gynecological surgery worldwide. By the age of sixty-five, one out of five people born with a uterus will have it removed. So, why do we seldom talk about this surgery? Highly performed yet overlooked, examining the paradox of hysterectomy begins to unravel the various problems with how we medically treat uteruses and the people who have them.

Get It Out weaves centuries of medical history with rich qualitative data from 100 women, trans men, and nonbinary people who had, want, or are considering hysterectomy. In compelling detail, Andréa Becker reveals how America's healthcare system routinely deprives people of the ability to control their own bodies along race and gender lines. When people ask for a hysterectomy, they are often met with pushback: Are you sick enough? Old enough? Have you had enough babies? Will you regret this? How will your future husband feel about this? Yet this pushback is not equally experienced. While some people are barred access, others are ushered toward a hysterectomy. These contradictory recommendations reveal the persistent biases entrenched within healthcare.

Get It Out interrogates how little choice people with uteruses ultimately have over their reproductive health, and explores what these "choices" signify amid interlocking systems of inequality.