Introduction: Developmental anomalies of female genital tract are not very common, incidence reported in the literature is0.2%–3.8% [1] Depending on the specific defect, a woman’s obstetric and gynaecologic health may be adversely affected.

Aims and Objectives: Through the present study we aim to evaluate the various clinical presentations of congenital anomalies of female genital tract, appropriate management used for the respective cases to improve both obstetric and gynaecological outcome.

Methods: A prospective observational study was conducted at the Maharajah‘s Institute of Medical sciences, Obstetrics and Gynaecology department for a period of 3 years. Among more than 3000 patients reporting in the outpatient department within the above mentioned time period, 13 cases of  female genital tract developmental defects were diagnosed through clinical history, physical examination, hormonal study, imaging-studies and  hysterolaparoscopy. The optimum mode of management for each case was individualised and assessed in terms of the final outcome and is being followed-up.

Results: Present study shows prevalence of mullerian anomalies is 0.4 % at our tertiary care center. Main presenting symptoms were primary amenorrhoea and infertility. Most of the patients belonged to the adolescent age group.

Conclusion: Female genital tract anomalies are a morphological diverse group of developmental disorders. The surgical approach for correction is specific to the type of malformation. Due to the frequent association between müllerian and urinary anomalies, the finding of any of the types should lead to the investigation of the other [2].