Dilation and curettage (D&C) is a surgical procedure in which the cervix is dilated and a special instrument is used to remove tissue from inside the uterus. The procedure is performed to diagnose and treat certain uterine conditions, such as abnormal uterine bleeding, fibroids, polyps, hormonal imbalances, uterine cancer, and to remove tissue in the uterus during or after a miscarriage or abortion. Before doing a D&C, a healthcare provider might recommend a procedure called endometrial biopsy or endometrial sampling to diagnose a condition. A D&C might be combined with another procedure called hysteroscopy, which involves inserting a slim instrument with a light and camera on the end into the vagina, through the cervix, and into the uterus. The procedure can be done in a doctors office, an outpatient clinic, or a hospital, and the type of anesthesia used depends on the specific procedure being performed. After the procedure, patients may experience cramping, bleeding, and discharge, and should contact their healthcare provider if they experience unusual symptoms such as fever, heavy bleeding, or severe pain.