Intrauterine contraceptive device (IUD) has been associated with numerous complications such as pelvic discomfort, spontaneous expulsion, and infections. In rare instances, perforation and migration can occur if neglected. We present a rare of 25-year-old female in whom a neglected perforated IUD (Cu-T) after two years completely migrated into the urinary bladder leading to large stone formation. The migrated IUD with stone was successfully managed via minimally invasive endourological management.