Operative vaginal speculum

A speculum for performing gynecological procedures. The speculum includes a first structure, which includes a fixed blade member, a second structure, which includes a movable blade member, and a third structure to join the first and second structures together. The first structure includes a light source holder for an associated light source. The speculum includes a hinge, which may be located on either side of the speculum. These features facilitate improved visualization of, and access to, the genital tract. Such enhanced visualization and access reduces the likelihood of patient discomfort. The fixed blade member and the second blade member may be formed with cutaways to enhance visibility and instrument placement through the speculum.