Background: The migration of the intra-uterine device (IUD) to the colon is a rare but can cause serious complications. Removal of migrated IUD is highly recommended considering that it can lead to risks of complications, such as fistula formation and colonic perforation. Case Report: We hereby report 45-year-old woman with IUD implanted in the sigmoid intestine, which was removed by laparotomy and laparoscopy. Conclusion: The migration of IUD must be treated even in asymptomatic patients due to the risk of severe complications.