BACKGROUND There have been numerous advances in the area of assisted reproduction. Among the various reasons of implantation failure, intrauterine lesions play an important role. OBJECTIVE The aim of the present study is to evaluate the role of hysteroscopy prior to any assisted reproductive technique. MATERIALS AND METHODS It is a retrospective study of 292 women who attended our infertility clinic over a period of 18 months, who had a variable number of failed IVF cycles previously. RESULTS Out of the 292 women studied, in 74 women, that is 25%, intrauterine pathology was detected, which when rectified by hysteroscopy, gave a considerable increase in pregnancy rate. CONCLUSION According to this study it can be concluded that evaluating the uterine cavity is an important step before any assisted reproductive procedures.