Didelphys uterus or double uterus is one of the least common mullerian duct anomalies. It affects one to three in 3000 women worldwide. Uterus didelphys occurs due to Mullerian unification defects resulting in various abnormalities with the presence of 2 uteri, 2 cervices and often 2 vaginas. A high caesarean section rate of 51% has been reported in pregnancies with didelphys uterus. Reproductive outcome of women with this anomaly is better than that of women withunicornuate malformation due to better vascularity. Approximately 60% of women with uterus didelphys have successful full-term pregnancies. Renal anomaly scan be also associated with mullerian anomalies due to the common origin of mesonephric duct. The pregnancy outcome of women with uterus didelphys was comparatively good, but they still belong to a high-risk group. Women with uterine anomalies are more likely to experience adverse pregnancy outcomes.