Background: Retained products of conception (RPOC) is an intrauterine tissue that has developed during conception and is still persisting after miscarriage, medical, or surgical termination of pregnancy and vaginal or cesarean delivery. Retained products of conception is one of the most common causes of postpartum bleeding. Materials and methods: It is a prospective comparative study conducted in the Department of Obstetrics and Gynaecology at Mahatma Gandhi Mission's Hospital, Kalamboli, over a span of 2 years in 60 pregnant women who were diagnosed by ultrasound to have RPOC >3 cm. A total of 60 cases were included in the study. Cases were randomly recruited and randomized into two groups of hysteroscopy group and Dilatation and evacuation (D&E) group. In this study, we have observed the patients for complications such as postoperative pain in abdomen was assessed using visual analog scale, vaginal bleeding was assessed by visual estimation, fever, injury to cervix, perforation of uterus, and ultrasonography evidence of no RPOC. Results: In our study, hysteroscopic removal has better safety and efficacy when compared with standard D&E procedure. Conclusion: The study shows that hysteroscopic removal of RPOC is more effective and safer procedure compared with blind D&E. We recommend that it may be used as first line of treatment for RPOC.