Gynecological components, including ovaries, fallopian tubes, ligaments, and the uterus, are seldom found within hernial sacs. The occurrence of groin hernias containing elements of female genitalia is not well-documented. This case report presents a 37-year-old woman with a unique clinical scenario involving an inguinal hernia containing the left ovary and an associated ectopic left pelvic kidney. The patient's clinical history, characterized by left inguinal pain and swelling, is detailed, including relevant reproductive and medical background. The diagnostic journey encompasses ultrasound and contrast-enhanced computed tomography, revealing the left-sided inguinal hernia with the left ovary. The report emphasizes the challenges posed by the coexistence of inguinal hernia, ovarian involvement, and ectopic pelvic kidney. A multidisciplinary approach is highlighted, encompassing surgical and medical considerations. Surgical intervention involves left-sided inguinal hernioplasty, with a particular focus on fertility preservation through the careful repositioning of the ovary. Postoperative care and considerations for successful recovery are discussed. In conclusion, this case report sheds light on the intricacies of managing a complex clinical presentation, providing insights into diagnostic, surgical, and postoperative aspects. The rarity of such cases underscores the need for ongoing research and collaborative discussions within the medical community.