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The surgical management remains resection of the uterus with some short\u2010term advantages for a minimally invasive approach. Surgical staging to define the extent of disease may be advocated but its ability to affect survival has not been demonstrated. If surgical staging is undertaken, the routine performance of a para\u2010aortic lymph node dissection must be questioned. Adjuvant radiation therapy whilst reducing locoregional recurrence has not been shown to improve survival. Whilst the definitions of risk vary, grade 1 and 2 tumours, invading &lt;50% into the myometrium, are considered low risk and should not be offered adjuvant therapy. Women with grade 3 tumours invading &gt;50% into the myometrium have an increased risk of regional nodal spread and distant spread and recurrence. In these high\u2010risk cases, pelvic radiation therapy will reduce local and regional recurrence but will not impact upon survival. The addition of systemic therapy in this group is an attractive proposition with limited supportive evidence. All other patients are of intermediate risk of recurrence, and the addition of vaginal vault brachytherapy will reduce vaginal vault recurrences. 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