Hysteroscopic surgery is a minimally invasive surgical method commonly used to treat gynecological diseases. Hysteroscopic surgery for endometrial polyps is more accurate, less risky, less harmful to the body than traditional surgical treatment, and can better inhibit the recurrence of endometrial polyps. Endometrial polyps are a common disease in women. Hysteroscopic surgery can reach the basal part of the polyps and remove them. Compared with traditional scraping and hysterectomy, hysteroscopic surgery has little impact on the endometrium and ovarian function and can minimize the impact on fertility, and the surgery is less invasive, with shorter recovery time and better prognosis. Although endometrial polyp hysteroscopic surgery is not very harmful, endometrial polyps may recur, and the risk of recurrence can be reduced by taking oral progestin-like drugs; for patients without fertility requirements, levonorgestrel intrauterine device can be placed in the uterus to slowly release progestin for a more lasting preventive effect. After hysteroscopic endometrial polypectomy, there is a risk of complicating endometrial adhesions. A balloon can be placed in the uterus and intrauterine injection of chitosan can effectively prevent endometrial adhesions. Overall, hysteroscopic surgery for endometrial polyps is a safe and effective minimally invasive surgical method that usually causes less damage to the patient’s body and has a better prognosis. After surgery, patients need to pay attention to post-operative care, can use antibiotics under the guidance of doctors to prevent infection, pay attention to supplemental nutrition, avoid straining and staying up late, avoid sexual life for a period of time, and timely cooperation with doctors for review.