Objective: To investigate the advantages of using single-incision laparoscopy in the removal of ectopic IUD and bladder repair surgery. Patient: An asymptomatic 42-year-old woman with an 18-year IUD history requested removal of her IUD with a desire to conceive in the near future. Ultrasound and X-ray imaging identified the device penetrating completely through the uterus and partially through the bladder. The IUD was removed via single- incision laparoscopic surgery and hysteroscopy after the patient expressed concern for the cosmetic aftermath of multi-port surgery. Outcome: An ectopic IUD removal and bladder repair was successfully performed by single-incision laparoscopic surgery.