Abstract
Cervical atresia is a challenging anomaly with an invasive management. We describe a case of cervical atresia who had multiple surgeries before this case was treated by using a minimal invasive technique by inserting gastrostomy tube with guide wire through the vagina and inflate the gastrostomy balloon inside the uterus to create a patent cervical tunnel, under ultrasound guidance. The patient recovered and was observed for 10 months after the procedure and developed a regular cycle with no cyclical pain.