This chapter provides detail description of Hysteroscopy and endometrial carcinoma. Chapter has 6 well illustrated diagrams and pictures. Hysteroscopic images of malignant tumors of uterus, gross assessment of invasion in endometrial cancer, tumor invasion, cervical invasion, hysteroscopy and positive peritoneal cytology are described in detail. 8 tables are included to highlight risk factors for endometrial carcinoma, five year survival in endometrial carcinoma, indications of hysteroscopy in endometrial cancer, morphological classification of endometrial carcinoma on hysteroscopy, gross assessment of invasion of endometrial carcinoma, sensitivity and specificity of hysteroscopy with biopsy for diagnosis of endometrial carcinoma and characteristics of peritoneal cytology. 62 references are included at the end of the chapter to facilitate further reading.