Abstract: Scar endometriosis is a rare entity most commonly seen after surgical treatment of the uterus or fallopian tubes. Caesarean scar endometriosis is the most common type of abdominal wall endometriosis. It is usually confused with other dermatological and surgical conditions which delays the diagnosis. We report a case of a 34-year-old patient with scar endometriosis, six years after her lower segment caesarean section. Treatment is surgical and diagnosis is confirmed by histopathological examination.