Aims and Objective : To assess the acceptability of TVS as a less invasive and less expensive substitute to hysteroscopy for evaluation of uterine cavity pathology. Material and Methods : Fifty patients were randomly selected from the outpatient department with complaints of abnormal uterine bleeding. After detailed history and general physical examination, they were evaluated by Transvaginal Sonography [TVS] and hysteroscopy and compared with final diagnosis established by histology.