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Objectives: To identify definition of intraoperative consultation and diagnostic accuracy in gynecologic pathology, gynecological-pathological agreement and solutions. Material and method: The results of 404 intraoperative consultations of 363 patients sent to Pathology Department by Obstetrics & Gynecology Department of hospital between 1 January, 2007 and 31 December, 2011, were assessed by using pathology reports, obtained from the database of Pathology Department. Results: According to our results, rate of intraoperative consultation was 4.7%. Frozen section diagnosis in 95.3% of cases was compatible with the paraffin sections, our false negative rate was 4.4%. False negative results during intraoperative consultation were due to the limited sampling. Definite diagnosis was left to paraffin sections in 3.7% of the cases. They were complicated cases and for differential diagnosis, immunohistochemical staining as well as requiring adequate number of sections and mitosis count was needed. There were primary tumors in 93.8%; multiple primary tumors in 1.2% and metastatic tumors in 5.0%, as being neoplastic in 67.8% and non-neoplastic in 32.2%. Intraoperative consultation was most frequently ordered in ovary; followed by endometrium, myometrium, cervix and vulva. Conclusion: In intraoperative consultations, communication and coordination of the gynecologist and pathologist and their experience are crucial for reliable results. It was found that results of our clinic was reliable. [ABSTRACT FROM AUTHOR]