The aim of presentation of this rare case of persistent mullerian duct syndrome is to outline management of such case when encountered unexpectedly while operating on obstructed inguinal hernia. More so this possibility should be kept in mind while operating on a case of cryptorchidism. PMDS is a rare condition often missed in a casual USG done in emergency this leads to confusion to surgeon while operating. Left behind gonads pose a risk of malignant degeneration if ignored and hence will need further management. Presence of risk of infertility after definitive treatment especially in young patients precludes immediate surgical removal of gonads in such patients. Proper informed consent prior to such procedure is important as is advise on future fertility.