Operative hysterectomy (HSC) is now considered the gold standard treatment of most benign intrauterine pathologies [2]. The exam is performed using general anesthesia in day surgery procedure. Operative HSC enables the gynecologist to make diagnoses, obtain targeted endometrial specimens for histological examination, apply therapies (e.g. endometrial ablation), and perform a variety of surgical procedures (e.g. adhesiolysis, myomectomy, polypectomy). Operative HSC is also indicated for Mullerian anomalies (e.g. uterine septa), retained intrauterine contraceptives, endocervical lesions, and abnormal uterine bleeding unresponsive to medical treatment. The aim of the study was to analyze hysteroscopic procedures performed over an 8-year experience, highlighting indications, limitations, and complications of this technique in a sample of 1,412 women.