A T-shaped uterus is a type of uterine malformation that is not yet well understood. Although several studies have eluded to its implications in infertility and early pregnancy loss, this is still a topic of debate and further research is needed. This video demonstrates a case of a woman with multiple pregnancy losses and a previously unrecognized T-shaped uterus that was diagnosed by hysteroscopy. The diagnostic criteria for a T-shaped uterus is reviewed, as defined by the Congenital Uterine Malformation Experts (CUME). Potential surgical management options are explored and demonstrated. Anecdotal cases of pregnancy success after surgical treatment of a T-shaped uterus at the University of Ottawa are also shared.