Objective: To compare the effect of endometrial scratching vs hysteroscopy on pregnancy outcome of women undergoing IVF with previously failed ART cycles. Methods: 40 patients were recruited from July 2019 to August 2019. They were alternately subjected to hysteroscopy and endometrial scratching prior to controlled ovarian stimulation. The endpoint was clinical pregnancy as assessed by cardiac activity. Result: Clinical pregnancy rate was 40% in hysteroscopy group and 35% in scratching group. There was no statistically significant difference. Conclusion: There is no difference in outcome with both procedures and either of them can be used before IVF procedure to improve the pregnancy rate.