No, it is not possible to have a healthy pregnancy without a uterus. The uterus is essential for pregnancy because it provides the environment where a fertilized egg implants, develops into an embryo and then a fetus, receives nutrients and oxygen via the placenta, and grows until birth. Without a uterus—whether due to congenital absence (such as in Mayer-Rokitansky-Küster-Hauser syndrome), surgical removal (hysterectomy), or other medical conditions—the biological process of gestation cannot occur.

While assisted reproductive technologies like in vitro fertilization (IVF) can facilitate conception, they cannot replace uterine function. Embryos require the structural support, vascular supply, hormonal responsiveness, and immunological tolerance uniquely provided by a functional uterus. Experimental approaches such as ectopic gestation or artificial womb technology remain unproven in humans and are not clinically viable options for sustaining a full-term, healthy pregnancy.

Individuals born without a uterus or who have undergone hysterectomy may still produce eggs and become genetic parents through IVF combined with gestational surrogacy—where another person carries the pregnancy using the intended parent’s egg and partner’s or donor sperm. However, this does not constitute a pregnancy *in* the individual lacking a uterus.

In summary: Pregnancy necessitates a uterus. Its absence precludes natural gestation, and no current medical intervention enables pregnancy outside of a biologically intact or transplanted uterus. Uterus transplantation remains highly experimental, rare, and associated with significant risks; even successful cases represent exceptional circumstances—not standard care—and do not change the fundamental requirement of uterine tissue for human pregnancy.