Congenital anomalies of the female reproductive tract are congenital deviations from the normally developed female genital system. The most common causes are embryonic damage in combination with various chromosomal aberrations. They can be classified as anomalies of the gonads, anomalies of the fallopian tubes, anomalies in the development of Mullerian ducts and anomalies in the development of external genitalia. The most common form of gonadal dysgenesis is Turner syndrome, which occurs due to the complete or partial absence of the X chromosome. Congenital anomalies of fallopian tubes are rare conditions that are often asymptomatic and are mostly diagnosed during laparoscopy performed for the treatment of other conditions. The most common congenital anomalies of the female reproductive organs are anomalies in the development of Mullerian ducts. There are many proposed classifications for these anomalies, with the most widely used being the classification of the American Society for Reproductive Medicine from 2021. Congenital anomalies of Mullerian ducts, which include aplasia of Mullerian ducts known as Mayer-Rokitansky-Kuster-Hauser syndrome (MRKH), as well as cervical and vaginal anomalies that completely obstruct the genital tract, can present as primary amenorrhea. Unicornuate, bicornuate and septate uterus are associated with a history of reproductive complications and recurrent miscarriages. The symptoms of these anomalies vary greatly, from almost asymptomatic to a heavily burdened reproductive history, infertility, and recurrent pregnancy losses. The diagnosis of anomalies is made through a detailed gynaecological examination, while the gold standard in diagnosing congenital anomalies of the female reproductive organs is definitely 3D ultrasound, and in certain situations, magnetic resonance imaging. The treatment of anomalies is individualized and depends on the cause and clinical presentation. Asymptomatic forms often do not require treatment, while in patients with a burdened reproductive history and other complications, the possibility of surgical treatment is undoubtedly considered.