This video demonstrates a diagnostic hystero-laparoscopy performed as part of an infertility evaluation in women with recurrent pregnancy loss, failed IVF, and suspected intrauterine pathology. During hysteroscopy, the surgeon identifies subtle abnormalities including endometrial tags, peri-ostial fibrosis, and micro-polyps, while discussing their possible association with chronic endometritis and impaired fertility. Minor corrective procedures and biopsy are performed where appropriate. The procedure then proceeds to diagnostic laparoscopy for assessment of the uterus, tubes, ovaries, and pelvic adhesions. Throughout the video, practical clinical pearls are shared on interpreting subtle hysteroscopic findings and optimizing fertility outcomes.