The first hysteroscopic examination was done in 1869. But it was not until almost a century later, in 1957, that William Norment performed the first transcervical myomectomy using a cutting loop. Subsequently, in 1976, Neuwirth and Amin reported the first excision of submucous fibroids under hysteroscopic control. Two years later Neuwirth reported the first use of a resectoscope to morcellate a myoma. This heralded a revolution in the management of menstrual problems. Over the last two decades the resectoscope has established itself as the gold standard method for dealing with submucous myomas. Alongside this, was the introduction of laser to vaporize myomas, which has also established its place in hysteroscopic surgery. The high success rate of the above two techniques has meant that recent advances have focused more on making the procedure safer, more user friendly, and more compatible with outpatient use. This chapter briefly discusses hysteroscopic myomectomy: its indications, technique, outcome measures, and complications.