After a review of the main problems related to metroplastics (i.e. frequency of malformations, their importance in maintaining infertility, clinical classifications, diagnostic techniques, the Authors discuss the problem of their surgical treatment. The results obtained in 54 cases from a cooperative study (Audebert 17 cases; Cittadini 25 and Cognat 12) are presented. In 50 out of 54 cases the Bret-Palmer technique has been performed and in several cases complementary operations such as adhesiolysis, salpingoplastics, ligamentopexies, myomectomies, cystectomies, wedge resections of ovaries, were performed. On the basis of their experience, the Authors affirm that the results of metroplastics are better when their indications are strictly selective and they stress that the overall results may be considered as favourable.