The presence of ectopic endometrial tissue outside the uterine cavity is referred to as endometriosis. It is a harmless condition that is commonly seen in women of reproductive age. It can happen in both the pelvic and extra-pelvic areas. Endometriosis in an episiotomy scar is extremely rare, but due to local infiltration, it can cause significant morbidity in patients. The presence of the classic clinical triad of episiotomy history, tender nodule at the scar site, and cyclical pain can be used to diagnose this condition. Magnetic resonance imaging is a very useful imaging modality for diagnosing and assessing the lesion’s deeper extent.