Over decades, various methods have been described for the treatment of dysfunctional uterine bleeding (DUB), and authors have reported good results using technical equipment. 1 The introduction of new technologies, the improvement in different techniques, and the application and skill of surgeons have facilitated the progress in the development of endometrial ablation. Modern endometrial ablation began in 1981 with the introduction of the neodymium-yttrium-aluminum-garnet (Nd:YAG) laser in hysteroscopic surgery for photocoagulation of the endometrium by Goldrath et al. 2 In the 1980s, hysteroscopic electrotechniques, 3-5 later called first-generation techniques (FEATs), were described. Collected studies 6 showed that photocoagulation was still superior. These methods were not performed by the majority of gynecologists because of perceived technique-related difficulties.