inguinal hernia in females is rare. At the time of pregnancy, a rare condition can evolve, round ligament varicosities, which is difficult to differentiate for the inguinal hernia on clinical bases. Ultrasonography with Doppler study differentiates the two conditions. Round ligament varicosities disappear spontaneously after delivery, while inguinal hernia needs surgical repair. This study aimed to highlight a cause of groin swelling in females during pregnancy, round ligament varicosities, and the feasibility of inguinal hernia repair during the elective cesarean section.