What are some surgical options for patients with atypical endometrial hyperplasia?

D&C. Dilation and curettage is one option, in which the lining is gently removed to fully evaluate for higher grade abnormalities concerning for cancer. If there are also atypical cells present, many would recommend a hysterectomy due to the high risk of underlying cancer, or of the abnormality progressing to cancer.
Few. If you have already had children the best option is hysterectomy. Due to overlap between different diagnoses, some women with atypical hyperplasia actually have cancer and the biopsy reading was not totally correct. You can be treated medically and then go back and resample the uterus but the only definitive therapy is hysterectomy.