Ovarian cancer throughout gestation may be a rare event. very little is understood regarding the treatment of this condition because of lack of prospective randomised trials and cohort studies. during this paper the authors reportable a rare case of tiny cells gonad cancer, diagnosed at sixteen weeks of gestation, treated with conservative surgery at eighteen weeks and therapy. At week 38, the patient underwent C-section and delivered a healthy female offspring. Staging surgery was then dole out followed by adjuvant therapy. therefore the findings from this case all over that prognosis and quality of the patients life ought to be a priority, therapy throughout the trimester looks to be safe but, potential risks of this interventions still must be thought-about.