Symptomatic submucous myomata are now diagnosed and evaluated with hysteroscopy in the office or operating room. Excision under hysteroscopic control using a resectoscope or other equipment and techniques is described and the long term outcome is reported. The hysteroscopic approach to the symptomatic submucous myoma has dramatically changed the treatment options for patients who classically would be offered abdominal myomectomy or hysterectomy.