Background: This study aimed to compare the surgical outcomes and oncological safety of laparoscopic radical hysterectomy (LRH) and transabdominal radical hysterectomy (TRH) in patients with early-stage cervical cancer. Methods: A retrospective analysis was conducted on 120 patients diagnosed with early-stage cervical cancer who underwent either LRH (n=60) or TRH (n=60). Primary outcomes included operative time and estimated blood loss, while secondary outcomes comprised recovery time, hospital stay, and postoperative complications. Pathological parameters, including parametrial involvement, vaginal margins, and lymph node yield, were also assessed. Results: LRH was associated with significantly shorter operative times (p<0.001), reduced blood loss (p<0.001), shorter recovery times (p<0.001), and shorter hospital stays (p<0.001) compared to TRH. No significant differences were observed in postoperative complications between the two groups. Pathological parameters did not differ significantly between LRH and TRH groups, indicating comparable oncological safety. Conclusion: Laparoscopic radical hysterectomy offers favorable surgical outcomes and comparable oncological safety to transabdominal radical hysterectomy for early-stage cervical cancer. Further studies with long-term follow-up are warranted to confirm these findings and establish laparoscopic radical hysterectomy as a standard of care.