Endometriosis is defined as the presence of endometrial glands and stroma outside the uterine endometrial cavity. It is a benign, chronic, and estrogen-dependent disorder. It generally occurs in pelvic sites such as ovaries, posterior cul-de-sac, pelvic peritoneum, bowel, and rectovaginal septum. Extrapelvic endometriosis has been described in various sites such as nervous system, thorax, urinary tract, gastrointestinal tract and in cutaneous tissues. Endometriosis at scar site can be found after cesarean, hysterectomy, amniocentesis, laparoscopic trocar tract, or perineal episiotomy.1 Episiotomy scar endometriosis is a relatively uncommon condition and usually diagnosed late because of unawareness about the condition among general surgeons, resulting in prolonged suffering to the patient and increased morbidity.