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Cervical conization constitutes an effective treatment for high\u2010grade cervical intraepithelial neoplasia (HG\u2010CIN). We conducted an observational study for long\u2010term outcomes and HPV genotype changes after conization for HG\u2010CIN. Between 2008 and 2014, patients with newly diagnosed HG\u2010CIN before conization (surveillance new [SN] group) and those who had undergone conization without hysterectomy (surveillance previous [SP] group) were enrolled. HPV testing and Pap smear were performed periodically for the SN and SP (collectively S) groups. All other patients receiving conization for HG\u2010CIN during the study period were identified from our hospital database. Those eligible but not enrolled into our study were assigned to the non\u2010surveillance (non\u2010S) group. For the S group (n = 493), the median follow\u2010up period was 74.3\u2009months. 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