Suction dilation and curettage (D&C) is a procedure involving the insertion of a thin, plastic tube inserted through the cervix into the uterus. The tube is attached to a suction device or vacuum, which is used to suction tissue out of the uterus through the tube. Dilation refers to the opening of the uterus, while curettage refers to the removal of tissue within the uterus with an instrument called a curette. This procedure is performed as a treatment for miscarriage or retained placenta after delivery. The procedure may be done in the Women First office with a local anesthetic. You can usually go home within an hour or two of the procedure.