To study the effect of two methods for treating type II cesarean scar pregnancy (CSP) after cesarean section. Methods: 78 women with type II CSP were selected and were divided into study group and control group (39 cases in each group) by random number table from August 2016 to June 2019. All women in the two groups had undergone selective uterine artery embolization (UAE). The women in the study group were given transvaginal scar pregnancy lesion excision combined with repair, and the women in the control group were given hysteroscopic electrotomy. The operation time, the intraoperative bleeding volume, the hospital stay time, the blood beta-HCG (β-hCG) level, the postoperative recovery situation, and the incidence of adverse reactions of women in the two groups were observed. Results: 1 month after treatment, the total effective rate of women in the study group (94.9%) was significant higher than that (79.5%) of women in the control group, and the operative time (41.4±9.6mm), hospital stay time (6.2±2.0d), and intraoperative blood loss (40.2±1.3ml) of women in the study group were significant lower than those of women in the control group (all P＜0.05). The incidences of vaginal congestion and tissue damage of women in the control group were significant higher than those of women in the study group (P＜0.05). 3 months followed up after operation, the time of the βHCG level returned to normal of women in the study group (21.3±4.6d) was significant shorter than that (28.2± 6.4d) of women in the control group, the time of menstrual recovery of women in the study group (35.2±2.2d) was significant shorter than that (43.1± 3.2d) of women in the control group, and the thickness of the lower uterine muscle layer of women in the study group (4.7±0.7mm) was significant higher than that(3.3± 0.2mm) of women in the control group  (all P＜0.05). Conclusion: Compared with hysteroscopic electrosurgical excision, vaginal scar pregnancy lesion excision combined with repair has higher clinical efficacy, less incidences of pelvic and abdominal injury, and other complications, which can improve the recovery of women.