Objective: To assess the safety and efficacy of hysteroscopic resection of the uterine septum in patients with a Class Va septate uterus. Design: Retrospective clinical study. Setting: University outpatient surgical center. Patient(s): Twenty-one patients with Class Va uterus treated between 1985- 1998 in the senior author's academic practice. Intervention(s): Hysteroscopic metroplasty with preservation of cervical septum. Main Outcome Measure(s): Intraoperative and postoperative complications; postoperative cumulative pregnancy and delivery rates. Result(s): No long-term complications were encountered. Fourteen of 15 women who attempted pregnancy postoperatively delivered viable neonates; the 15th is in an ongoing pregnancy. Conclusion(s): Surgical correction of the complete uterine septum with preservation of the cervical septum is associated with low morbidity and satisfactory postoperative obstetric outcome.