Hormone replacement therapy after menopause has shown so many advantages, such as reduction in risk of coronary artery disease and osteoporotic fracture besides treatment for climacteric symptoms, yet disadvantage such as a probability of an increase in the risk of breast cancer with long-term use still remains. In Japan HRT is now at the starting point. We must try to make more effort to accumulate data on the safety of HRT during-and-after menopause. It is our hope that doctors, not only gynecologists, but also doctors of other specialties will join our program for the health and happiness of women after menopause.