At this time, hysteroscopic electrosurgery may occur with uterine adhesions, and there should be some awareness of the need to protect endometrial function. To a certain extent, electrosurgery can have a negative impact on the endometrium, but it should not be considered bad at this time. This is because the pathological lesions of the endometrium have often been evaluated at the time of performing endometrial electrosurgery in order to judge the appropriateness of the electrosurgery. If the endometrium has undergone some negative effects without treatment, it is more harmful than beneficial at this point and endometrial electrosurgery should still be performed after weighing the pros and cons. At this time, the functional layer of the endometrium should be considered and full protection should be given to avoid damaging the basal layer of the endometrium, then the corresponding negative effects such as subsequent adhesions and dysfunction of the endometrium will be significantly reduced.