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Abstract Introduction Placenta accreta spectrum disorders is a collective term used for pathological, abnormal adherence and invasion of the placenta into the myometrium . The grading of spectrum is based on histopathology. Case Presentation: A 38-year-old woman, G5P3L3A1, with previous three caesarean sections with gestational age of 37 weeks from LMP, booked case elsewhere presented to the emergency with pain abdomen. The abdominal pain was dull aching in nature and not radiating in character. It was not accompanied with leaking or bleeding per vaginum. In her antenatal period, she was admitted once before for bleeding per vaginum and lower abdominal pain elsewhere. Results: This case report outlines the clinical presentation, diagnosis and management of a case of placenta percreta in a 38-year-old woman, necessitating a subtotal hysterectomy. The report emphasizes caesarean sections as a major risk factor for placenta percreta in subsequent pregnancies and the challenges posed by severe placental adherence and the importance of preoperative diagnosis and appropriate intervention in a tertiary care centre timely to ensure maternal well-being. Discussions: The increasing rate of cesarean deliveries has increased the incidence of placenta accreta spectrum in past two decades. The frequency of Placenta accreta spectrum significantly increases with the number Caesarean deliveries 3%, 11%, 40%, 61%, 67% . The second most common cause, Placenta previa possess for 2 to 5% increased risk of placenta accreta spectrum This case report underscores the gravity of placenta accreta and the challenges it presents, often necessitating decisive interventions such as total abdominal hysterectomy. Conclusion: This case report underscores the gravity of placenta accreta spectrum and the challenges it presents, often necessitating decisive interventions such as total abdominal hysterectomy.