Cesarean scar pregnancy (CSP) is a life-threatening ectopic pregnancy that is frequently misdiagnosed. Ectopic pregnancy affects 2% of all pregnancies, while cesarean scar ectopic pregnancy affects about 1 in 2,000 of all pregnancies. Cesarean scar pregnancy is likely to become more common as cesarean section rates rise, resulting in complications such as uterine rupture and hemorrhage. We discuss the case of a 26-year-old woman who had previously undergone one cesarean section and was diagnosed with a type I cesarean section scar ectopic pregnancy based on transvaginal ultrasonography. Patient was managed by aspiration under ultrasound guidance which resulted in avoiding major invasive procedures. The precise cause of pouch or niche formation is still unsolved, yet the risk factors for its growth are commonly known. They include hysterotomy scar site, history of multiple previous cesarean section, technique of suturing, and diabetes/smoking. Here, with this unique technique, we emphasize the need of early detection and treatment of CSP.