The paraganglia are the neuroendocrine tissues which are symmetrically distributed along the para vertebral axis from the base of the skull to the neck of the pelvis. Tumors of these paraganglia are called as Paraganglioma. It is a neuroendocrine tumor, majority of them are benign. Paraganglioma affecting the urinary bladder in pregnancy is extremely rare condition. An early diagnosis of Paraganglioma, in the 1st trimester will result in a good outcome, if treated by surgical intervention and these patients can be delivered vaginally instead of caesarean section.