In patients with a mediastinum uterus who have infertility or recurrent miscarriages, the mediastinum can be removed either hysteroscopically under laparoscopic surveillance or transabdominally by surgical removal of the mediastinum. Of all the uterine abnormalities, the mediastinum is the only one that can be corrected with hysteroscopic treatment. When a mediastinal uterus is removed, contraception is usually required for at least 6 months after surgery to ensure that the uterine incision heals well. Hysteroscopy is a very good treatment for surgical molding of the mediastinal uterus, and is a significant advancement in the surgical treatment of the mediastinal uterus, with the ability to conceive very quickly after the surgery. Patients who do not require transabdominal hysteroplasty are contraceptive for a certain period of time and do not require a cesarean section. More than 85% of patients with recurrent miscarriages and preterm deliveries are able to conceive, and 75% of them are able to deliver full-term babies, but only one-third of patients with primary infertility are able to conceive, and two-thirds of them are able to deliver live babies to full term, and follow-up after pregnancy with double uterine anomalies has shown that the rate of full-term pregnancies is only 25%.