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This case report discusses the diagnosis and management of scar pregnancy, a rare condition where an ectopic pregnancy occurs within the scar tissue of a previous cesarean section. A 30-year-old woman with previous two cesarean sections, presented with history of collapse, profuse vaginal bleeding, and abdominal pain. Urine Pregnancy Test was done and turned out to be positive. Quick Transvaginal ultrasound was done, and it confirmed Incomplete Miscarriage. She was shifted to OT for Suction and Evacuation, but profuse bleeding was noted. Immediately, she was planned for Laparotomy and Proceed. Intra-operative finding was suggestive of Scar Pregnancy with macroscopic findings suggestive of Placenta Accreta. Consent from relatives was taken and Emergency Total Abdominal Hysterectomy was performed. She was admitted in Surgical ICU for post-operative multidisciplinary care and subsequently had an uneventful recovery. This case underscores the challenges in Surgical Evacuation of Pregnancy especially in women with previous Caesarean Section. Radiological diagnosis of Scar Pregnancy will help in managing the patient in a better prepared way with multidisciplinary critical care approach. This case report delves into the clinical intricacies and management of a scar pregnancy in a 30-year-old woman with a history of two cesarean sections. This case underscores the intricate diagnostic and management challenges encountered in scar pregnancies, particularly when complicated by placenta accreta. Timely identification through transvaginal ultrasound, coupled with prompt and comprehensive decision-making involving a multidisciplinary team, is crucial for achieving favorable outcomes in such rare and complex cases. The presented case contributes to the growing understanding of scar pregnancies and emphasizes the importance of a tailored approach to individual patient needs in managing this unique obstetric condition.