More than 90% of cavity adhesions are caused by excessive scraping of the uterus, which destroys the endometrial basal layer and leads to adhesions in the anterior and posterior walls of the uterus. The time frame for the formation of uterine adhesions is 2 weeks, initially forming membrane-like adhesions, which gradually escalate to fibromuscular and connective tissue adhesions as time passes. Hysteroscopic hysterectomy is the standard procedure for resolving uterine adhesions. It is a targeted separation of the uterine adhesions under direct vision and requires needle electrodes to cut the adhesions and ring electrodes to remove the excess scar tissue in case of dense scar tissue that has formed. This places a higher demand on the surgical instruments as well as on the surgical skills of the hysteroscopist. Fortunately, we now have very advanced surgical equipment, and the Olympus bipolar electrosurgery scope is very suitable for hysteroscopy, with lightness and precision being its greatest advantages. As far as surgical skills are concerned, hysteroscopic surgery for uterine adhesions is the most difficult hysteroscopic procedure, requiring the hysteroscopist to have extensive surgical experience and a correct prognosis of the uterine cavity in order to make a beautiful and successful operation. Zheng Jie of Beijing Fuxing Hospital compared hysteroscopic adhesions surgery to “renovation of the uterine cavity”, and as I gain experience in surgery, I have a deeper and deeper appreciation of this statement. Unlike hysteroscopic myomectomy and longitudinal hysterectomy, which are relatively easy and can be performed with great care, each cut needs to be made with great care and precision, just like carving a beautiful jade. It is very important that the patient undergoes a successful operation that restores the normal shape of the uterine cavity and exposes the bilateral tubal openings, which are the landmarks of the uterine cavity. The protection of the endometrium during the procedure is extremely important and is a key factor in the prognosis. The postoperative management is also crucial, which is neglected by many patients, as only a good repair of the endometrium will reduce the probability of recurrence of the uterine adhesions and lead to a good pregnancy outcome. Postoperative treatment is individualized for different cases of cervical adhesions, and timely postoperative hysteroscopy is crucial to separate the newly formed membranous adhesions before the endometrium is completely covered and to prevent re-adhesions to the greatest extent possible. I hope the above is helpful for patients with hysterocutaneous adhesions. I hope you will follow the doctor’s instructions and review and use the medication on time, I have confidence in everyone’s uterus!