Female genital anomalies are abnormalities of the female reproductive organs caused by some intrinsic or extrinsic factors during the process of embryonic development and formation. Some of these abnormalities include hymenal atresia, abnormal vaginal development, congenital cervical atresia, abnormal uterine development, abnormal development of fallopian tubes and ovaries, and hermaphroditism. Hymenal atresia is more common and may not cause any discomfort before puberty, but after puberty, the menstrual blood cannot be discharged and there may be pain in the lower abdomen, and physical examination may reveal pelvic masses (fluid in the uterus and vagina). Common vaginal abnormalities include congenital anovagina, vaginal atresia, longitudinal septum and transverse septum. In the case of congenital anovagina, most of them have no uterus or only a primordial uterus, while a few have a normal uterus and ovaries. Vaginal atresia and complete transverse vaginal septum have symptoms similar to hymenal atresia and should be treated with surgery as early as possible. In longitudinal vaginal septum and transverse septum with central hole, the menstrual blood can flow normally, most of the time it is detected during physical examination or abortion during childbirth. Congenital cervical atresia is rarer after puberty with periodic lower abdominal pain due to accumulation of blood in the uterine cavity. Treatment is surgical penetration of the cervix, or hysterectomy if the cervix is undeveloped. Uterine dysplasia can be divided into: undeveloped uterus, hypoplastic uterus, and abnormal uterine development. The undeveloped uterus is further divided into congenital absence of uterus and primordial uterus. Those with hypoplastic uterus have low menstrual flow and are sterile after marriage, and can be treated with additional estrogen and progestin. Abnormal uterine development can be divided into: double uterus, septal uterus, unicornuate uterus, and vestigial uterus. If the uterus is asymptomatic and does not affect fertility, treatment may not be required. Hysteroplasty is feasible for bicornuate and septate uterus that affect fertility. Abnormal development of the fallopian tubes can be classified as absent fallopian tubes, parapelvic tubes, hypopelvic tubes, occlusion or absence of the middle section. Abnormal development of the fallopian tubes may lead to infertility or ectopic pregnancy, and most of those who wish to have children need assisted reproductive techniques. Abnormal ovarian development can be classified as: unilateral ovarian agenesis, bilateral ovarian agenesis, redundant ovaries, etc. Hermaphroditism is a condition in which the reproductive organs of both sexes may be characterized by high or low levels of androgen stimulation in the uterus. These can be classified as female pseudohermaphroditism, male pseudohermaphroditism and gonadal abnormalities. Chromosomal, sex hormone tests, urinary 17a-hydroxyprogesterone and urinary 17-ketone tests should be performed to determine the specific classification before treatment.