A De Garengeot hernia is a rare occurrence, defined as the presence of the appendix within a femoral hernia sac. The entity was first described in 1731 by a French surgeon named Rene Jacques Croissant De Garengeot, and as of 2015 there have been fewer than 100 cases reported in the literature. Femoral hernias alone are less common than other types of groin hernias, and tend to occur nearly exclusively in older women, as these individuals tend to have a wider femoral ring. However, as a result of both the angle and the narrow entry of the femoral canal, femoral hernias are more prone to incarceration and strangulation, at a rate of 5-20%. Presence of a De Garengeot hernia: incarcerated appendix within a femoral hernia is exceedingly rare, with incidence varying between 0.5-5% of femoral hernias. This occurrence has been attributed to a large cecum with increased mobility, or abnormal positioning of the appendix, both of which may lead to a pelvic appendix and subsequent incarceration in an existing femoral hernia. Here we demonstrate a case showing the laparoscopic management of a De Garengeot hernia, with both femoral hernia repair with mesh and subsequent appendectomy.