Diagnostic hystero laparoscopy is available in a compact size operation procedure done under anesthesia ca . It functions as a day care procedure and patients is discharged in alignment with day. In this operation a laparoscope is introduced. In the abdomen the uterus, Tubes, Ovaries, Pouch of douglas and bowel is visualized. Tubal patency is confirmed by injection of dye. Small corrective operations are also done through laparoscope such as ovarian drilling, Adhesionolysis excision of myomas, Endometriomas, Cauterisation etc. Through hysteroscope the uterine cavity is visualised. Polyps, Fibroids, Septum etc is diagnosed & treated. Tubal ostiamay be able to visualized along with the ability to treated if necessary. When concluding a hysteroslaparoscopy the diagnosis of fertility is definitely established and a treatment plan is madeThis item functions as better to do a hystero laparoscopy in all cases of fertility before strong treatment. However it could potentially be differed or delayed in some cases such as young patients just married with no obvious disease who may be given trial by direct treatment cycle. Cost consideration if patient refuses to spend for it then alternative methods of determining tubal patency such as hsg or sonosalpingography may be performed. If patient has undergone laparoscopy earlier. If patient is unfit to undergo operation. A good diagnostic hysteroslaparoscopy is the benchmark of excellence basic investigation in fertility work up.