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We reported a case of a 37 years old woman who presented with complaints of irregular bleeding per vagina and lower abdominal pain for 2 months at tertiary health care centre in southern Rajasthan. At the end of history and clinical examination a provisional diagnosis of a benign ovarian mass was made due to the following reasons, patient was young, in the premenopausal group and exhibited no cachectic symptoms, Gynaecological examination revealed a unilateral mass with a smooth surface, well defined borders, cystic consistency and mobility with no evidence of ascites. Relevant tumour markers were in the normal range. Then the patient was sent for an ultrasonography and the report was surprisingly opposite. Usg findings suggest possibility of lesion- likely ovarian mucinous tumour? Borderline mucinous cystadenoma?? Mucinous cystadenocarcinoma. MRI also confirmed the same. The provisional diagnosis was of a benign or borderline mass and intra operative frozen section also suggested a borderline tumour, so a staging laparotomy with Total abdominal Hysterectomy +Bilateral Salpingo Oopherectomy + Infracolic Omentectomy with pelvic lymph nodes sampling was done but final HPE came as malignant mucinous cystadenocarcinoma. In conclusion, the treatment strategies and prognosis are much different for benign, borderline, and malignant ovarian tumours and so an accurate diagnosis is important, although making a correct diagnosis of an ovarian tumour before surgery remains problematic. All diagnostic modalities have their own limitations but when in doubt, it should be managed by a higher surgery.