An operative hysteroscopy is a surgical procedure used to remove fibroids or polyps from the uterus. A D&C, or dilation and curettage, is a surgical procedure that involves widening (dilating) the cervix before removing tissue from the inner lining of the uterus using a special spoon-shaped surgical instrument. A D&C is commonly used to look for growths and to discover the cause of unexplained bleeding.
Unlike a hysteroscopy, a D&C is always performed under a general anaesthetic or sedation.