Purpose of investigation: Over the years, hysteroscopy has been increasingly performed for various gynecological disorders. In this study, we present a review of hysteroscopic procedures performed over a 7-year period. Methods: Five hundred and eighty hysteroscopic procedures performed at the Department of Gynecology and Obstetrics, University of Gaziantep, Turkey from 2002 to 2009 were reviewed particularly highlighting the preoperative indications, postoperative diagnoses and complications associated with the procedure retrospectively. Results: The most common indication for diagnostic hysteroscopy was infertility followed by AUB. The most common pathologies for referal to operative hysteroscopy were uterine septum, endometrial polyps, Asherman’s syndrome, submucous myomas, and other uterine anomalies. The complication rate was 0.86% of the total hysteroscopies. False passage and uterine perforation were the most common acute complications. No late complications occurred. Conclusion: Our data is consistent with reports from other studies supporting that hysteroscopy is a safe and effective minimally invasive procedure with a low rate of complications with certain surgical principles.