http://www.PreOp.com Medical Malpractice and Patient Education Company Then the surgeon will use a gloved hand to conduct a vaginal examination and will check the size and location of the uterus by pressing on your lower abdomen. Your doctor will then use a retractor to open the vagina. Once the cervix is visible, a forceps is used to grasp the front lip of the cervix ... and to pull it forward - causing the uterus to open.