Endometrial ablation was introduced as an alternative to hysterectomy in the management of menorrhagia, a very common and disabling problem, affecting the quality of life of women of reproductive age. It consists of removing or destroying the entire thickness of the endometrium, in order to achieve the oligo or amenorrhea. Two generations of techniques have been described: first-generation techniques eliminate the full thickness of the endometrium under direct visualization with electrosurgical instruments. The second generation depends on a device that is inserted into the uterine cavity and releases thermal energy to destroy the endometrium. Although they are procedures known worldwide, in our country there are few studies and the technique has not been widespread. The review of the literature about the state of the art of endometrial ablation techniques is carried out, with an explanation, indications, complications and advantages. Strategies are proposed for future studies that may be useful in the practice of gynecology services in Colombia.