Endometriosis is the presence of endometrial tissue outside the lining of the uterine cavity.1,2,3 It is a benign gynecological disorder affecting about 5% of reproductive age women.3,4,5Umbilical endometriosis is the presence of endometrial gland and stroma in the umbilicus. It is a rare site of occurrence. It is usually preceded by history of a pelvic surgery, as was found in this patient. 11,12,15 The management usually involves a multidisciplinary team comprising the gynecologist, the plastic surgeon, the colorectal surgeon, Fertility and Pain management teams. 10,11,12 This was the case of a 33year old nulliparous, who had abdominal myomectomy 5 years prior to presentation. She noticed bleeding and pain from her umbilicus one year ago. Bleeding was cyclical, associated with her menses and was bright red in color. Over time, the umbilicus developed a hyper pigmented xerophytic mass, which was tender to touch. Laparotomy, complete excision of umbilical mass and intra peritoneal adhesiolysis was done. Her first menses after surgery was painless and there was no bleeding from the reconstructed umbilical site. When she is ready to start a family, she will be referred to the fertility team.