Fortunately, today, things are very different; there is a generalized interest in hysteroscopy as a specialty, with unquestionable uses as a diagnostic and therapeutic tool, relatively easy to learn, with frequent updates and web based events, which allows to see a large number of surgical interventions, images, conferences, etc., easy access to equipment, and the generosity of those who teach this art and the incorporation of specific dedicated hysteroscopic rotations in training programs. This year, we will start a fellowship in gynecological laparoscopy in Colombia, the first program endorsed by the AAGL outside the United States and Canada, where I have the honor to be the professor of Hysteroscopy.
In my opinion, what differentiates hysteroscopists from other surgeons is the possibility to complete most of the procedures in the office, without anesthesia, without sedation, as Dr. Bettocchi described it; The most important challenge and the resounding success of Hysteroscopy will be when we routinely have all gynecologists perform diagnostic Hysteroscopy in the office and have Hysteroscopy centers of high complexity, with greater resources that handle cases with great complexity.
Carlos Buitrago