Lama, PoonamJha, GautamAmatya, Indra Prasad2025-07-272025-07-272023https://hdl.handle.net/20.500.14572/790Poonam Lama Department of Obstetrics and Gynecology, Kapilvastu District Hospital, Kapilvastu, Nepal Gautam Jha Deparment of General Practice, Patan Academy of Health Sciences, Kathmandu, Nepal Indra Prasad Amatya Patan Academy of Health Sciences, Kathmandu, NepalAbstract Tubal sterilization is considered a permanent method of contraception because it is highly effective. However, pregnancy can still occur following a successful procedure and such pregnancies are likely to be ectopic. Primary ovarian pregnancy is one of the rarest forms of ectopic pregnancy having incidence of 1/7000-1/40,000 in live births and 0.5-3% of all ectopic gestations. In this paper, we report a rare case of ovarian pregnancy after tubal sterilization. All women who are offered this procedure should always be educated about its failure rate. And in women presenting with acute abdomen, a prior history of tubal sterilization doesn’t preclude the possibility of ectopic pregnancy. Keywords: Contraception; ovarian pregnancy; tubal sterilizationen-USArticle