Heavy menstrual bleeding interferes with a woman's physical, social and emotional quality of life. The National Institute for Health and Clinical Excellence (NICE) guideline on heavy menstrual bleeding provides the most up-to- date evidence-based recommendations both on provision of care and the areas that need to be researched further. All health professionals undertaking surgical or radiological procedures to diagnose and treat heavy menstrual bleeding should demonstrate their technical and counselling competence, either during their training or during subsequent practice. Clinical governance policies should be able to monitor treatment complications, patient choice, patient satisfaction and uptake rate. Staff involvement in risk management exercises should be monitored to ensure that appropriate incident forms have been completed and that the staffs involved have received feedback. NICE has suggested several research recommendations in this important aspect of women's health.