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Dilation and curettage (d&c) is a surgical procedure in which the cervix is opened (dilated) and a thin instrument is inserted into the uterus. This instrument is used to remove tissue from the inside of the Γ’β¬Β¦ Dilation (or dilatation) and curettage (d&c) is a medical procedure that dilates (widens or opens) the cervix and surgically removes tissue from the lining of the uterus by scraping or scooping (curettage).