Aim and objectives: The aim of the present study was to assess the efficiency of the medical method in the scarred uterus and compare the success rate and complications of the medical regimen in the scarred and nonscarred uterus. Material and methods: This prospective interventional study conducted at Pannadhay mahila chikitsalay Udaipur Rajasthan between May 2012 to April 2016.This study included 260 patients, 120 with history of the uterine surgery and 140 without history of the uterine scar. For termination of missed abortion MTP regimen was used consist of Tab Mifepristone 200 mg per oral 36 hours prior to 400 mcg Tab Misoprostol per vaginum followed by second dose 400 mcg of Misoprostol 12 hours after the first dose of Misoprostol per oral. MTP regimen was given on OPD basis, and patients were called for follow up after one week of starting the Tab Mefipristone. Outcome was categorized as complete, incomplete and failure of abortion on the basis of clinical findings. Results: A total 260 recruited patients were divided into scarred uterus (120 patients) and non scarred uterus patients (160). The age and socioeconomic status characteristics of all recruited patients were not statistically differ between these two groups. On the basis of Obstetrics and surgical details, patients with scarred and nonscarred uterus were subdivided into 7 and 4 subcategories respectively. Patients were also distributed into 4 groups of the gestational age according to the USG findings of missed abortion in scarred and nonscarred uterus patients. Initially we have prescribed the medical regime in all recruited patients. The outcome of the medical regimen was subdivided into complete, incomplete and failure. In non scarred uterus patients, out of 140 patients, 126 patients (90.0%) complete 11 patients (~7.8%) incomplete and 3 patients (~2.2%) failure missed abortion to medical regimen. In scarred uterus patients, out of 120 patients, 47patients (39.2%) complete, 43 patients (~35.8%) incomplete and 30 patients (~25.0%) failure missed abortion to medical regimen. We found that relatively higher numbers of the patient were noted in the incomplete and failure part of the medical regimen outcome in the scared uterus category which was statistically significant. We found there were some relatively major complications were observed in the scarred uterus patients however no such fatal damage of the patients is noted. Conclusion: We concluded that medical regime should be initial approach for scarred as well as non scarred missed abortion patients but we should be ready for alternative surgical approach in scarred uterine patients. The complication in the patients with missed abortion and having the scarred uterus are posing to relatively more complications.