To study the effect of hysteroscopic tubal catheterization hydrotubation for treating infertility patients, and to explore its influence on the postoperative recovery and the pregnancy status of these patients. Methods: A total of 120 infertile patients were selected and divided into two groups (60 cases in each group) according to different treatment methods from January 2019 to November 2019. The patients in the study group were treated with hysteroscopic tubal catheterization hydrotubation, and the patients in the control group were treated with conventional hydrotubation. The patency rate of bilateral fallopian tubes, the clinical efficacy, the postoperative recovery, and the pregnancy status of the patients after treatment were compared between the two groups. Results: The patency rate of bilateral tubal (35.0%) of the patients after treatment in the study group was significantly higher than that (18.3%) of the patients in the control group, and the total effective rate (91.7%) of the patients in the study group was significantly higher than that (76.7%) of the patients in the control group. The postoperative bed rest time (5.2±0.8h) and the hospital stay (2.6±0.3d) of the patients in the study group were significantly lower than those (8.9±1.0h and 5.3±0.8d) of the patients in the control group. The incidence of surgical complications (6.7%) of the patients in the study group was significantly lower than that (21.7%) of the patients in the control group (all P＜0.05). The cumulative pregnancy rate of the patients in the study group in 4 months (23.3%), in 8 months (60.0%), and in 12 months (93.3%) were significantly higher than those (8.3%, 30.0%, and 68.3%) of the patients in the control group (all P＜0.05). Conclusion: Hysteroscopic tubal catheterization hydrotubation for treating infertility patients can significantly improve their clinical efficacy, shorten their postoperative recovery time, decrease their operative complication, and increase their pregnancy rate in 1 year after operation.