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Pain-free day surgery? Evaluating pain and pain assessment during hysteroscopy factors, but PH is a rare disease 9 and the number of patients was already high because of the concentrating effect of the national reference centre. Finally, although our study population had well-established precapillary PH, mPAP was not very elevated, and right atrial pressure and cardiac index were not drastically changed, suggesting optimised treatment. Nevertheless, haemodynamic data are comparable with those in other surgical studies 2-7. Still, the incidence of major complications is significant. We can only suspect that the risk of complications would be higher with more disturbed haemodynamic abnormalities and with less specialised care. The present study provides data on the occurrence of complications associated with GI endoscopy in patients with precapillary PH, which should not be underestimated. The incidence …