Femoral hernias are a relatively uncommon, accounting for less than 5% of all hernias with a female predisposition, likely due to the wider pelvis or wider femoral canal. The male to female ratio is 1: 4 and increases with age. Presentation of this hernia can be varied from asymptomatic to incarcerated groin lump. Diagnosing femoral hernias preoperatively is challenging due to the resemblance to an inguinal hernia. Diagnosing the nature of a lump in the groin is often difficult and a delay in diagnosis may occur, especially because an obstructed or strangulated femoral hernia may not always typically present with abdominal or inguinal pain. Femoral hernias may have an abnormal presentation and may misguide the diagnosis. A proper examination and histopathology reporting should be done for confirmation. Hence, one should have a high index of suspicion in these cases as they can have varied presentation preoperatively.