not-yet-known not-yet-known not-yet-known unknown 1 Conclusion In conclusion, scar endometriosis poses a challenge in diagnosis, often causing frustration for both patients and physicians alike. It is imperative for healthcare providers to maintain a vigilant approach, particularly when encountering women experiencing pain at incision sites post pelvic surgery. A comprehensive evaluation, including a detailed medical history and physical examination, is crucial. Surgeons must consistently include scar endometriosis in their differential diagnosis to ensure timely recognition and appropriate management. USG and MRI serve as valuable diagnostic aids. Opting for wide excision is preferred as pharmaceutical interventions might not yield sustained alleviation. 1 Conclusion