The basis of hysteroscopic metroplasty treatment is to restore in some of these cases a normal uterine cavity with a good uterine vascularization as much as possible in order to have a better reproductive outcome. A recent study performed by Pace S et al [ 2 ] demonstrated an improvement in uterine perfusion following hysteroscopic metroplasty in arcuate uteri based upon uterine artery Doppler velocimetry indexes. Less