This video presents the hysteroscopic management of a 40-year-old woman with infertility, an endometrial polyp, and a subseptate uterus. It begins with a detailed interpretation of ultrasound and 3D imaging, explaining the challenges of differentiating septate and arcuate uteri using current classification systems. The surgery demonstrates hysteroscopic polypectomy using the slicing technique followed by septal incision with hysteroscopic scissors in the same sitting. Throughout the procedure, the emphasis is on precise, fertility-preserving surgery while avoiding unnecessary thermal injury. Viewers will gain practical tips on diagnosis, operative planning, and safe hysteroscopic correction of combined intrauterine pathologies.