This is a case report of a 33-year-old pregnant woman undergoing laparoscopic cholecystectomy at 23 weeks of gestation. A 10mm laparoscopic trocar was inserted 4 cm above the navel using an open Hasson technique. When the lens was introduced, the general surgeon observed the amniotic liquid and the placenta along with the fetus, immediately realising that the trocar was unintentionally inserted in the amniotic cavity. The trocar was immobilised and an emergency laparotomy was performed. When the fetal surgery team arrived the trocar was extracted, following a careful inspection of the 1cm uterine lesion. A typical microhysterotomy approach exactly like the one for prenatal myelomeningocele repair was used. The amnios were exteriorised and clamped to the uterine wall while the amniotic fluid was replaced with a 0.9% saline solution. A 2-layer hysterotomy using a monofilament PDS-0 suture was used for closure of the uterus and membranes. There were no complications during the surgery. At 34 weeks of gestation, the patient presented with preterm premature rupture of membranes requiring Caesarean section. A 34-week male neonate was born 11 weeks later, weighing 2620 grams, with an Apgar of 9/9, requiring admission to the neonatal intensive care unit, and discharged without complications 2 weeks later. The mother was discharged 4 days after delivery. Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.