Hereditary, exogenous, multifactorial factors lead to the causes of anomalies in the development of female genital organs. The occurrence of genital malformations is attributed to the critical period of intrauterine development. It is based on the absence of fusion of the caudal sections of the paramesonephral Muller ducts, deviations in the transformations of the urogenital sinus, as well as the pathological course of gonad organogenesis, which depends on the development of the primary nocturnal. These deviations account for 16% of all anomalies. Anomalies of the development of the genitals often occur during the pathological course of pregnancy in the mother at different periods of pregnancy. These are early and late gestosis, infectious diseases, intoxication, endocrine disorders in the mother's body. In addition, anomalies in the development of female genital organs can occur under the influence of harmful environmental factors, occupational harmful effects in the mother, poisoning with toxic substances. Along with anomalies of the genitals, in 40% of cases there are anomalies of the urinary system (unilateral kidney agenesis), intestines (atresia of the anus), bones (congenital scoliosis), as well as congenital heart defects.