We introduce a case of hysteroscopic adhesiolysis by the guidance of laparoscopic intracorporeal ultrasound (LIU) in a patient complaining of amenorrhea and infertility found to have total intrauterine synechia. Adequate intrauterine adhesiolysis was performed by resectoscope with a wire loop, coordinating images of the endometrial cavity, uterine wall and the tip of the hysteroscope. She had regular menses after the operation and follow-up hysterosalpingogram at 3 months demonstrated satisfactory surgical results, with no evidence of intrauterine adhesions. To avoid the possibility of inadvertent uterine perforation, complex intrauterine procedures can be easily performed by the guidance of endoscopic ultrasonography. (C) 2002 Elsevier Science Ireland Ltd. All rights reserved.