The article by Verstraeten, Vossaert, and Van den Bosch reviews the incidence, complications, and management of uterine perforation and migration of intrauterine devices (IUDs). IUDs, a widely used contraceptive method, can cause various complications, including failed insertion, pain, vasovagal reactions, infections, abnormal bleeding, expulsion, and uterine perforation. Uterine perforation and migration are rare but significant complications, occurring in approximately 1–2 per 1000 insertions. The review, conducted between December 2002 and December 2022, analyzed case reports and series to identify the most common sites of migration (intestine, bladder, and omentum) and the preferred methods for removal (laparoscopy). While most migrations do not lead to serious complications, some cases have reported abscess formation, complex adhesions, bladder lithiasis, and partial bowel resection. The authors emphasize the importance of routine follow-up after IUD placement and recommend immediate medical imaging if the IUD is not visible on ultrasound. They also highlight the need for healthcare providers to be vigilant about these rare complications, especially in cases of painful insertion or other risk factors for perforation.The article by Verstraeten, Vossaert, and Van den Bosch reviews the incidence, complications, and management of uterine perforation and migration of intrauterine devices (IUDs). IUDs, a widely used contraceptive method, can cause various complications, including failed insertion, pain, vasovagal reactions, infections, abnormal bleeding, expulsion, and uterine perforation. Uterine perforation and migration are rare but significant complications, occurring in approximately 1–2 per 1000 insertions. The review, conducted between December 2002 and December 2022, analyzed case reports and series to identify the most common sites of migration (intestine, bladder, and omentum) and the preferred methods for removal (laparoscopy). While most migrations do not lead to serious complications, some cases have reported abscess formation, complex adhesions, bladder lithiasis, and partial bowel resection. The authors emphasize the importance of routine follow-up after IUD placement and recommend immediate medical imaging if the IUD is not visible on ultrasound. They also highlight the need for healthcare providers to be vigilant about these rare complications, especially in cases of painful insertion or other risk factors for perforation.