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Objectives: The aim of this research was to investigate the feasibility, safety, and therapeutic efficacy of transvaginal cesarean section diverticulum (CSD) repair. Materials and methods: Three CSD patients with CSD and complaint of postmenstrual spotting with prior cesarean section undergoing transvaginal CSD repair at Shanghai First Maternity and Infant Hospital, Shanghai, China were enrolled in this study. Hospital stays, the size of trauma, complication, cost, prognosis, and comparison of size of CSD were recorded. Results: Transvaginal surgery provides less trauma, faster recovery, a shorter hospital stay, less intraoperative and postoperative complications, and lower cost. Conclusion: Transvaginal surgery can be used to remove CSD and expose the exact site clearly, and patients recover quickly. The method, therefore, is an effective treatment and is worth promoting.