Surgery for the residual cervical stump after subtotal hysterectomy is a challenging procedure associated with significant morbidity especially in the presence of malignancy. The purpose of this study is to highlight complications and technical challenges associated with abdominal removal of the residual cervical stump for malignancy. This is a retrospective study involving 23 patients subjected to abdominal excision of the residual cervical stump for malignancy. The study was carried out in the Surgical Oncology department, National Cancer Institute (NCI), Cairo University between January 2008 and December 2013. Seventeen patients were subjected to removal of the residual cervical stump as a completion procedure for incidentally discovered endometrial cancer in a recent subtotal hysterectomy specimen (within 3 months). Six patients had surgery for true cervical stump carcinoma. Operative morbidity was documented in 9 patients (39 %). The most common complications were: Bladder injury and wound infection (13% each). Other complications included: bleeding, ureteric injury, urinary fistula, urinary incontinence and retention with overflow; each documented in one patient. There was no operative mortality. The mean operative time was 170 minutes and mean hospital stay was 12 days. Surgical removal of the remnant cervical stump for malignancy is a technically demanding procedure with high associated morbidity. A total hysterectomy is recommended in all indications of hysterectomy, whenever possible. Keywords: Cervical stump, cervical stump carcinoma, trachilectomy.