Hysteroscopic surgery is considered to be a minimally-invasive procedure. This technique is associated with a shorter hospital stay and a rapid recovery time. At present, with the development of operative technique and instrumention, hysteroscopic surgery is widely performed to disease of endometrial cavity, tubal ostia, or endocervical canal. This procedure needs highly trained technique and can lead to number of associated complications, including uterine perforation and hyponatremia. Falloscpoic tuboplasty (FT) is regarded as a useful and less invasive method for the treatment of tubal occlusion, whereas the operator should have prior experience to avoid the complications such as tubal perforation and damage of instruments. Selective hydrotubation (SHT) with flexible hysterofiberscope is an also effective method for evaluating and managing tubal obstruction. SHT has the advantage of being an easy procedure and can be carried out safely in an outpatient setting.