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In this study, we generated EVs derived from chimeric antigen receptor (CAR) T cells targeting fibroblast activation protein (FAP) and investigated their biological and therapeutic functions. These FAP\u2010CAR EVs effectively inhibited intrauterine fibrosis, promoted endometrial regeneration, and increased pregnancy rates in a mouse model of intrauterine adhesion. Importantly, the exosome\u2010based therapy did not affect embryonic development or trigger systemic inflammation, indicating high safety compared with T\u2010cell\u2010based treatment. Mechanistically, while FAP\u2010targeted T cells could suppress fibrosis, they also induced severe cytokine\u2010release toxicity, which was completely avoided in the EV\u2010based strategy. 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