This video demonstrates hysteroscopic septal incision combined with selective septal excision in a woman with primary infertility and a complete uterine septum. It explains the importance of differentiating a septate uterus from a bicornuate uterus using diagnostic hysteroscopy and laparoscopy before definitive treatment. The procedure showcases bipolar resectoscopic septal division followed by excision of residual septal tissue that could otherwise act as a foreign body or promote re-adhesion. The lecture also covers safe electrosurgical techniques, postoperative Foley catheter placement, and laparoscopic confirmation of uterine integrity. Viewers will gain practical insights into performing a safe and effective hysteroscopic septoplasty in selected patients.