Introduction: Infertility contributes to a major social burden resulting in divorce, loss of economic resources and even annulment to burial rights in some cultures. Uterine factors contribute to a part of causal factors for female infertility. Hysteroscopy is considered as gold standard for detection of intrauterine pathology as it can detect abnormalities missed by the conventional methods. Methods: Study was done at SMGS Hospital after obtaining ethical clearance over a period of one year on 50 infertile patients who gave consent to participate and fulfilled the inclusion criteria. Diagnostic and therapeutic Hysteroscopy was done and suitable data was collected. Results: Primary infertility was found in most of the patients and the mean age was 25to 29 years. Majority of the patients with secondary infertility had previous LSCS(37.5%).Most common hysteroscopic finding was endometrial polyp (14%) followed by septum(8%).Therapeutic procedure was done in 24% of subjects with polypectomy as the most common procedure in 14% subjects. Conclusion: Hysterosalphingography has been used as the initial screening tool for evaluation of uterine factors of female infertility. Because of high false positive yield, it has been superseded by hysteroscopy which acts as diagnostic and therapeutic method at the same time in many conditions affecting implantation such as submucus fibroids, endometrial polyps, adhesions, uterineseptae and sometimes even cornual fallopian tube adhesions.