A vaginal manipulator (20) includes a head (26) with a door (28) and a head extender (30) attachable to the head. A shaft (22) is connected between a handle of the manipulator and the head. The head includes a proximal end (40) that is connected to the shaft and a distal end (42) opposite the proximal end, an anterior side (44) opposite a posterior side (46), and a recess (48) formed in the posterior side of the head. The shaft is curved to locate the anterior side of the head closer to the handle than the posterior side of the head is to the handle. The door is disposed in the recess and has a pivot portion (50) connected to the head and a free portion (52) opposite the pivot portion that is movable into and out of the recess. The head extender is removably attached to the distal end of the head.
