The increasing number of cesarean sections worldwide has led to a growing concern regarding the condition of the uterine scar and its impact on future pregnancies. Scar insufficiency can result in severe complications such as uterine rupture, abnormal placentation, and infertility, necessitating the development of more precise diagnostic methods. Modern technologies, including 3D ultrasound, elastography, and MRI, allow for a more objective assessment of scar structure and functional integrity, aiding in the selection of optimal pregnancy management strategies and reducing maternal and perinatal morbidity.