Design: N/A

Setting: Scheduled procedure in the operating room done via conventional laparoscopy in the dorsal lithotomy position.

Patients or Participants: Single patient.

Interventions: Laparoscopic left salpingo-oophorectomy and peritoneal excision.

Measurements and Main Results: N/A

Conclusion: Pelvic floor hernias are rare, but should be considered on the differential diagnosis for a patient with otherwise unexplained pelvic pain. Literature is scarce regarding the optimal treatment modality. We opted for a conservative approach with removal of the herniated structures (adnexa) and excision of the peritoneal window identified at the time of surgery. Our patient reported improvement in her pain at follow up visits.