Trocar site hernia is an uncommon complication of laparoscopic surgery. We present a case of 48-year-old year old patient who underwent total laparoscopic hysterectomy and developed ileus on post-operative fifth day because of small bowel obstruction in 5 mm trocar site and required laparotomy. Trocar site hernia is rarely reported on 5 mm sites. There are various risk factors suggested for herniation and proper facial closure after complete deflation of pneumoperitoneum is recommended.