This article aims to obtain and evaluate medium-term operating policies for the hydrothermal scheduling problem by using the stochastic dual dynamic programming (SDDP) approach. To this end, to feed the mathematical model and build the probability distribution functions that best fit each month of the actual inflow volume, monthly inflow data recorded from 1938 to 2018 for the Infiernillo reservoir located in Mexico were employed. Moreover, we simulated inflow volume scenarios using the Monte Carlo method for each month of a one-year planning period. The SDDP approach to solving the optimization problem consisted of the simulation of one forward scenario per iteration and the stabilization of the total operating cost as a convergence criterion, which results in an operating policy. We then assessed its quality by estimating the one-sided optimality gap. It is worth mentioning that the best operation policy required scenario trees of up to 17,000 inflow realizations per stage. Additionally, to study the evolution of the expected value along the planning horizon of the main variables involved in the medium-term hydrothermal scheduling problem, we simulated the best operation policy over 10,000 inflow scenarios. Finally, to show the practical value of the proposed approach, we report its computational complexity.