Abstract: Intrauterine contraceptive devices (IUCDs) are the major contraceptive measures in the developing countries like India where population is ever increasing and people are non-compliant. Perforation of the uterus is not an unusual complication of an IUCD with its incidence being 1 to 3 in 1000. It is important to minimize complications, detecting them early by educating people, training the staff to insert cu-T by arranging workshops. However, here we had a unique case in TNMC & BYL Nair Hospital, Mumbai, where A 25year female P2 L 2 MTP2 with an IUCD which not only perforated the uterus but also migrated to the anterior abdominal wall engulfed by the omentum and floating in a pocket of pus. IUCD was removed laparoscopically with tubal ligation.