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Introduction: Intrauterine contraceptive device is a form of long acting reversible contraception and is regarded as most effective reversible birth control method. Intrauterine contraceptive device(IUCD) is the second most commonly used contraceptive method world wide. One of the reasons for discontinuation rates are the fear of complications such as excessive bleeding, pain, infection, spontaneous expulsion and uterine perforation. Uterine perforation is very rare & occurs in 0.5/1000 insertions. However it has potential health risks and is often silent. case report: Mrs Sagili Guravamma , 26 year old housewife, P1L1 with last child birth 1 year back. IUCD was inserted 1 Year back during LSCS. Now patient came for IUCD removal. Patient is asymptomatic and is referred from Area hospital as a case of missing IUCD to our department. Ultrasonogram was performed , showed vertical limb of IUCD piercing the anterior wall of lower uterine segment and piercing bladder. We had done X ray abdomen, showed radio opaque IUCD in abnormal position and orientation within the pelvis. Following that MRI was done , showed linear STIR hypointense structure noted in the lower uterine segment causing indentation on bladder. Urologist consultation was done , they have performed cystoscopy, showed one limb in bladder piercing in to the posterior wall 2-3 cm behind the right ureteric orifice and no bleeding. IUCD removed vaginally using IUCD hook. Bladder catheterized for 1 month. conclusion: Uterine perforation following IUCD insertion is rare and potential health risk. All migrated IUCD must be removed as it can cause bowel and bladder perforation, fistula formation. Missing copper t must be identified using USG or pelvic X ray. In our case Xray could detect missing copper T . Removal by hysterolaproscopy is the best approach. The prevention of complications due to migrated copper T is by early detection and regular follow up.