This article presents the results of surgical treatment of placenta accreta in 18 women with a previous cesarean delivery according to the data of the Departments of gynecology at the Yakutsk Republican Clinical Hospital and Republican Hospital #1 (National health center) of the Republic of Sakha (Yakutia) for the period of 2018-2019. The diagnosis of placenta accreta spectrum (PAS) was based on ultrasound findings and MRI data. Seventeen patients underwent metroplasty. In PAS disorders, metroplasty is fertility-preserving surgery with minimal blood loss both by the laparotomic and laparoscopic approaches.