OBJECTIVE To demonstrate the possibilities of hysteroscopic procedures and transcervical surgery in the management of intrauterine pathology. DESIGN Retrospective study. SETTING Department of Obstetrics and Gynecology, 1st Faculty of General Medicine and General Faculty Hospital, Prague, Apolinárská 18, Czech Republic. METHODS Retrospective analysis of hysteroscopic procedures. RESULTS In the period 1994-1998 we performed 1410 hysteroscopic procedures. We registered an increase of operative hysteroscopic procedures--from 6.8% in 1995 to 24.5% in 1998. We registered 4 perioperative complications--in 1 case "fluid overload syndrome", in 2 cases perforation of the posterior vaginal fornix during dilatation of the cervix after its conisation and in 1 case perforation of the anterior uterine wall. These complications were not treated by any further major surgical intervention. In 91.3% we were able to solve the intrauterine pathology immediately in a one-step hysteroscopic procedure. CONCLUSIONS Our results are positive and demonstrate the role and advantages of operative hysteroscopy in the management of intrauterine pathology.