At times, myomectomy is mandatory to effect delivery.

Background: Excision of a leiomyoma has never been a choice during caesarean section.

Method: Myomectomy of a massive fibroid was necessitated prior to delivering the baby.

Results: Delivery of a healthy was effected by Classical caesarean section.

Conclusion: Leiomyoma in pregnancy is not an unknown entity and is a cause of concern for being a source of excruciating pain, at times, during the ongoing gestation.Although performed rarely, it is sometimes necessary to remove a large myoma to effect delivery of the baby during Cesarean section as is depicted in the case being presented hereunder.