BACKGROUND Unusual contents of inguinal hernia are relatively rare, which include appendix (0.6%), ovaries with fallopian tube (2.9%) and bladder (0.36%). Among those rare contents, our case is regarding the presence left paraovarian cyst with ovary and fallopian tube. The presence of ovaries with fallopian tube is mostly seen in infants and children. But, it is relatively rare in adults. We present a case of left obstructed sliding indirect inguinal hernia containing left ovary with paraovarian cyst and fallopian tube. For this case, paraovarian cystectomy, salpingo-oophorectomy along with herniorrhaphy was done. As surgeons frequently get exposed to inguinal hernia surgeries, seldom they may come across such rare contents. So, they should be careful while dissecting a hernial sac.