The VISION-HYST randomized controlled pilot trial offers fresh insight on the power of non-pharmacological interventions—specifically, the incorporation of visual distraction during office hysteroscopy. Mechanisms: Why Might Visual Distraction Work? ConclusionSimple environmental enhancements—like visual distraction—offer a promising, low-cost way to improve patient tolerability and satisfaction during office hysteroscopy. Simple visual distraction is practical, safe, and easily added to outpatient settings. Impact of a Multisensory Clinical Environment on Pain and Patient Experience During Office Hysteroscopy: The VISION-HYST Randomized Controlled Pilot Trial.