Dilation and curettage is a surgical procedure to remove tissue from the lining of the uterus. The procedure may be recommended as a diagnostic measure for abnormal uterine bleeding and bleeding after menopause. The procedure is also prescribed to check for irregularities if abnormal endometrial cells appear during a routine examination of the uterus. Therapeutic D&C removes the abnormal growths and infected tissue from inside your uterus. It may be recommended for several conditions including removal of residual tissues after a miscarriage or abortion to prevent infection or heavy bleeding, removal a molar pregnancy, clearing out remnants of placenta after delivery or removal cervical or uterine polyps. A small instrument or a medication is used to dilate the cervix. A surgical instrument called a curette is inserted through the cervix to remove uterine tissue. The entire procedure takes less than an hour and the patient can return home on the same day after the effect of the anesthesia wears off. The patient may experience cramping for a day or two. The patient can return to routine activity within two to three days. If fever and cramps last for more than 48 hours or the pain and discharge worsens you should consult your gynecologist immediately. Dilation and curettage is usually very safe, and complications are rare. However, there are risks. These include perforation of the uterus, damage to the cervix, scar tissue on the uterine wall and infections.