OBJECTIVE Sexual dysfunctions after surgery for gynaecologic cancer. DESIGN Review article. SETTING Department of Gynaecology and Obstetrics, 1st Medical Faculty, Charles University, Prague. METHOD An overview of published data. CONCLUSION Sexual functions are the basic part of quality of life. Even there exist just limited studies dedicated to postsurgical sexual morbidity, it is conclusive in most of them, that surgical therapy for gynaecologic malignant tumours is connected with long-lasting anatomical and physiological changes, which can cause sexual dysfunctions in women. These are often complex and some of them last for more than two years after the operation. Well-timed sexuological counseling and openness of health care providers in sexual topics are very important parts of complex care of oncogynaecologic patients and their partners.