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Infertility has always been one of the most elusive symptom complexes that perplex a gynecologist. Laparoscopy is the most rapidly evolving area in medicine. AIMS AND OBJECTIVES: To evaluate the role of hysterolaparoscopy in comprehensive work up of infertility and to help in planning appropriate management. To identify the incidence of various pathological condition in female reproductive tract leading to infertility. To develop the plan of therapy for such patient. To analyze the rate of complications in diagnostic hysterolaparoscopy. MATERIAL AND METHODS: 100 infertile women with primary infertility of the age group 18-40 years with normal hormone profile and without male factor infertility were randomly selected from Infertility clinic of rural tertiary care hospital over 2 and 1⁄2 year from 1st January 2011 to October 2013. Initially all women were examined by taking detailed history, physical examination, basic endocrinological investigations, USG pelvis, endometrial biopsy and semen analysis. After that general examination, systemic and genital examinations were carried out on patients selected for the study. Hysterolaparoscopy was performed in post menstrual phase under general anesthesia. RESULTS: The present study showed maximum cases of infertility (40%) in the age group of 21-25 years followed by (35%) cases of infertility in the age group of 26-30years. Mean age of women was 24.6 years. On laparoscopy 34 patients revealed abnormal findings and rest had normal pelvic findings. Tubal blockage without adhesion was found to be the most important abnormality and was seen in 11 cases followed by tubal blockage with adhesion 7 cases. Laparoscopy revealed 18 cases of tubal blockage (11 bilateral and 7 unilateral) and 78 cases were with normal tubal patency. Out of 78 cases, 12 cases had other abnormalities (endometriosis-2, PCOD-3, peritubal adhesions-7) 21 women conceived after ovulation induction, IUI and tubal cannulation (cornual). Of them 10 have delivered and 11 are yet to deliver. CONCLUSION: Diagnostic hysterolaparoscopy is an effective and safe tool in comprehensive evaluation of infertility, particularly for detecting tubal blockages, peritoneal endometriosis, adnexal adhesions and bicornuate uterus. Needless to emphasize that hysterolaparoscopy is a very useful tool that can detect various structural abnormalities can be considered as a definitive day care procedure for evaluation and treatment of female infertility.