One of the main complications of twin pregnancies is the fetal-fetal transfusion syndrome (TTTS), it is important to observe the representation by the oligopolyhydramnios (PCOS) and anemiapolycythemia (PAS) sequences, when in severe stages, the expectant management for each one of them is associated with poor prognosis, with a high rate of intrauterine and perinatal mortality, including a high rate of neurological impairment in survivors. In this sense, it is necessary to determine three essential points in this research: first, the investigation of the state of the art in the literary scene on the subject through the Integrative Review (IR) methodology, the second point is to present as scope the main therapeutic forms of the STFF and finally, to present the result of this scenario in relation to the treatment of the STFF.