This video demonstrates the hysteroscopic management of a postmenopausal woman with bleeding and a 13 mm thickened endometrium. Initial office hysteroscopy reveals cervical stenosis and a large endometrial polyp, making simple scissor excision unsuitable. The surgeon explains how to safely negotiate the stenosed cervix before converting to an 18 Fr bipolar resectoscope for complete polypectomy. Practical tips are shared on resecting large broad-based polyps, preventing fluid overload, and avoiding uterine perforation in the thin postmenopausal uterus. This video is an excellent learning resource for managing difficult hysteroscopic procedures in postmenopausal patients.