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Abstract Title - A rare case report of successful pregnancy outcome in a patient with Bladder Extrophy. Case Report - A 26 year old G1P0L0 women presented with 9 months of amenorrhea . She was referred from periphery for transverse lie and was in labour. She had complains of continuous dribbling of urine since childhood for which she had multiple hospital visits but she could not get surgery done. On examination - Umbilicus was absent, pubic bones were separated, posterior base of bladder with ureteric opening was seen, continuous dribbling of urine was coming from ureteric orifices and anterior bladder wall was absent. On obstetrical examination - Uterus 32 week size with fetus in breech presentation with assuring fetal heart rate. On local examination - No differentiation between labia majora and minora and no urethral meatus seen. Both anal and vaginal opening shifted anterior. On vaginal examination - cervix was fully dilated and fully effaced . Presenting part was footling breech. Immediate cesarean section was planned in presence of surgeons. Vertical incision was given on abdomen 4-5 cm above bladder. Skin and subcutaneous tissue separated . There was no rectus sheath or muscle . No parietal peritoneum, no bladder and no vesicouterine fold . Incision given on LUS and baby delivered by breech presentation. She delivered healthy baby of 2.2 kg. Conclusion - Patient of Bladder Extrophy can have a successful pregnancy outcome with meticulous planning and elective cesarean section with urology team . Vaginal delivery should be considered when the pregnancy is uncomplicated and a senior obstetrician and urologist should be available for emergency delivery. Elective cesarean section aims to protect continence in operated patients and avoid prolapse in future.