The first human liver transplant was carried out by Thomas Starzl in Denver, Colorado, USA in 1963 in a child with biliary atresia.Many other advances have been made in the past three decades. Improvements in preoperative assessment and medical management of potential transplant candidates as well as better peri-operative and post-transplant care have undoubtedly enhanced outcomes. Progress in the treatment of infective complications and the development of more selective immunosuppressive agents have seen survival approaching 90% at one year.Conclusion: Chromohysteroscopy improves the efficacy of hysteroscopy in perimenopausal bleeding and Observation of diffuse light blue staining without dark areas strongly suggests a normal endometrium free of disease.Keywords:Hysteroscopy,chromohysteroscopy, perimenopausal bleeding , atrophic endometritis, endometrial hyperplasia..