<h3>Study Objective</h3> To review the etiology, incidence, basic evaluation and the current treatment options for female urethral diverticula. As well as to describe a case-presentation of female urethral diverticulum and to demonstrate a technique for marsupialization. <h3>Design</h3> A case presentation and educational surgical video <h3>Setting</h3> Single academic institution <h3>Patients or Participants</h3> Single patient <h3>Interventions</h3> Marsupialization of female urethral diverticulum <h3>Measurements and Main Results</h3> We present a case of a 31-year-old female with a painful anterior vaginal wall mass, urinary urgency/frequency and some leakage of urine during pregnancy. MRI was notable for a 3.7 × 2.7cm anterior vaginal wall mass concerning for urethral diverticulum. After her vaginal delivery she underwent aspiration for decompression; however, she then had recurrence of the diverticulum 6-weeks later resulting in repeat drainage. At that time, she referred to Urogynecology. Her exam was notable for a recurrent diverticulum. She as counseled extensively on her options for treatment and decision was ultimately made to proceed with marsupialization due to her current social circumstances, desire not to undergo a more complex surgery nor to have prolonged Foley catheter use. She underwent an uncomplicated marsupialization of her urethral diverticulum and was discharged home the same day and her foley was removed at home on postoperative day zero. She was seen for follow-up at 2-weeks and 6-weeks and was healing well without urinary incontinence or notable recurrence symptoms or diverticulum. <h3>Conclusion</h3> Marsupialization is a simple, quick, and effective treatment option for urethral diverticula with minimal surgical risk and should be considered in appropriately counseled patients as an initial treatment option for female urethral diverticula.