This educational video demonstrates the hysteroscopic management of severe intrauterine adhesions (Asherman's syndrome) using a structured and anatomy-based surgical approach. It explains how to identify key uterine landmarks despite complete cavity distortion and perform safe adhesiolysis while minimizing the risk of perforation. The video showcases the use of ultrathin hysteroscopes, gradual reconstruction of the uterine cavity, and techniques to preserve functional endometrium. Two challenging clinical cases are presented to illustrate practical surgical decision-making. The discussion concludes with postoperative adhesion prevention strategies, second-look hysteroscopy, and expected fertility outcomes. This is an excellent learning resource for gynecologic endoscopic surgeons managing complex intrauterine adhesions.