Hysteroscopic surgery can cause a very pronounced pain response, and in the case of local anesthesia, it may cause a pulling response of the internal organs, as well as a pain reflex. Therefore, it is recommended to do general anesthesia, and in the case of general anesthesia, having an anesthesiologist on hand to escort the patient can make life safer. If intravenous anesthesia is done, it is administered intravenously and takes effect in about 10-20 seconds, which allows the patient to reach a more satisfactory state of sedation quickly, while the anesthesiologist is next to the patient for close monitoring to make the vital signs more stable. Patients are quiet and do not feel any discomfort during the treatment. If local anesthesia is done, the patient is fully awake and knows what the doctor is doing, but does not know what the doctor is going to do next. So there is a lot of fear, anxiety, and a lot of psychological reactions, as well as physical adverse reactions.