[History of Romanian Surgery]

Hysterectomy begins to fail as an absolute treatment for menorrhagia, as new medical and conservative treatment occurs. The author analyzes literature data of efficiency of hysteroscopic endometrial ablation compared with medical treatment, as well as among different hysteroscopic techniques. In conclusion, considering the expansion of hysteroscopic methods, gynaecologists should consider revising the treatment option in dysfunctional uterine bleeding, and offer to the patients the option of endometrial ablation.