Our patient is a 41-year-old G2P2 who presented with intermenstrual bleeding and abdominal cramping. A transvaginal sonogram showed a normal size, anteverted uterus with an 8 cm right adnexal mass. MRI imaging showed enhanced uptake in the area of the adnexal mass, suspicious for a cervical diverticulum. The patient was brought to the operating room for fertility sparing treatment. Upon entry into the peritoneum, the adnexal mass was identified caudal to the uterine body projecting to the right para rectal area. First, the anterior leaf of the broad ligament was identified and dissected down to the bladder. Next, the round ligament was transected. Extensive retroperitoneal dissection was performed at the pelvic brim and carried down to the back of the bladder. The mass was completely mobilized from its stalk, which appeared connected to the right upper cervix in the form of a fistula. The pedicle of the connection was gradually transected and the specimen was removed. Copious irrigation was performed and chromopertubation showed dye flowing through the defect. The defect was then repaired using 0 V-Loc suture. Next, the anterior and posterior leaves of the broad ligament were re-approximated to the round ligament. The specimen was confined to a bag, removed through a laparoscopic port, and sent to pathology. Pathology report showed fibromuscular tissue surfaced by endocervical epithelium, consistent with a cervical diverticulum. At her 3-month follow up appointment, the patient noted complete resolution of intermenstrual bleeding and abdominal cramping.