The aim of this chapter is to focus on the hysteroscopy treatment and management. Appropriate surgical management always begins with accurate history taking, physical examination, and careful workup of the suspected problem. In preparation for hysteroscopic procedures, the considerations may be useful following as antibiotic prophylaxis, cervical stenosis, endometrial preparation for ablation, and fibroids. This chapter focuses on intraoperative details, postoperative details, complications, outcome and prognosis, and future and controversies. The most common complications after hysteroscopy are bleeding and uterine trauma. An accepted rate for all complications during surgical hysteroscopy is 3.8%. Attempts at hysteroscopic evaluation or treatment are obviously meant to overcome the traditional problems associated with invasive procedures performed in the past that involved prolonged hospital stays, increased morbidity, and increased costs.