Uterovaginal prolapse and concomitant primary vaginal carcinomas are extremely rare. We present a case of 70-year-old woman who had uterovaginal prolapse for 4 years and complained one episode of post-menopausal bleeding. There was a large cystocele, third degree uterovaginal prolapse with large fungating growth confined to the upper and mid vagina. There was no imaging evidence of local or distant spread. She underwent vaginal hysterectomy along with tumor resection which revealed moderately differentiated squamous cell carcinoma of the vagina; FIGO stage I. No adjuvant treatment was offered and there was no recurrence at 7 months postoperatively.