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Introduction:Umbilical endometriosis is a rare condition that occurs when endometrial tissue grows in or around the menses.Cyclical navel pain, swelling and discharge from the umbilicus are the main symptoms. Aims and Objectives:It's an example of cutaneous endometriosis which is??0.5 to 2% of all extrapelvic diseases.The aim of this study is to evaluate the clinical characteristics,presentation,diagnosis and management of umbilical endometriosis in review of literature. Material and Methods:A 28 year P1+0 patient with a history of previous caesarean section 1 year back came to the OPD with complaints of umbilical pain and bloody discharge from the umbilical lesion during menstrual cycle since 3 months . Detailed clinical evaluation was done on the basis of history taking and examination.She had no significant past medical and surgical illness. Surgical excision of the lesion was done and sent for histopathological examination which confirmed umbilical endometriosis. We followed her at regular intervals in our OPD to see the result. Result:This is a case of a woman with a previous caesarean section 1 year back with cyclical umbilical pain and discharge from navel since 3 months with a umbilical lesion of around 1.5 cms. Surgery was done under anaesthesia and??the endometriotic lesion was sent for HPE .The case had uneventful postoperative period and was followed up and there was no recurrence.It's a case of secondary cutaneous endometriosis probably as a result of previous c-section. Conclusion:Umbilical endometriosis must be considered as a differential diagnosis in a case of umbilical lesions.Symptoms are very specific like umbilical pain,lesion and cyclical discharge from the lesion.Imaging has limited role in diagnosis.Surgery is the mainstay of treatment and histopathology must support the diagnosis.There is low risk of malignancy and frequent follow ups are needed.