The aim of the present review is to briefly look through the new components of the 2001 revision of the cytological terminological classification Bethesda, created in 1989 and modified in 1991. In general, the changes are connected with the more clear definition of circumstances and different categories, in order to allow the comparison of data provided in international publication as well as to facilitate diagnostic and therapeutic strategies. It is pointed out although single attempts to use the Bethesda system have been made in Bulgaria since 1994, there is no serious scientific discussion between the experts in this field--gynecologists, cytologists, pathologists and cytotechnicians, about the opportunities for its implementation in a large scale.