AbstractImperforate hymen is a rare condition, most commonly diagnosed among obstructive anomaly, with a incidence of less than 1%. It is an isolated anomaly that is seen due to failure of canalisation of urogenital sinus. It presents with primary amenorrhea, cyclical abdominal pains and may be with urine retention and it is observed at the age of puberty in girls. We present a case of 13 year old girl with imperforate hymen underwent hymenoplasty under general anesthesia for Hematocolpose and Hematometra, presented with abdominal pains on and off and tenesmus. On follow up the girl had started with normal menstruation.