Primary umbilical endometriosis (PUE) is a rare condition seen in .5-1% of patients of endometriosis. This condition is a diagnostic dilemma. Once diagnosed, the definitive treatment is surgical excision. The umbilicus is an important aesthetic landmark, and in this condition, where the final goal is not only to cure, but to give the best result, umbilicoplasty plays an important role . Here we describe a patient with PUE, diagnosed and treated with wide excision and umbilicoplasty.