Background: Pubic diastasis is the abnormal widening of pubic bones at the symphysis pubis. It is a rare case entity seen after traumatic vaginal delivery. Here, we report a case of pubic diastasis with bladder injury after home delivery and its successful conservative management. Case description: A 33-year-old multiparous woman, with previous two cesarean deliveries, presented to gynecological emergency center 6 days after home delivery with the inability to pass urine and rectal incontinence after unsupervised home delivery 6 days back. On examination, there was a complete perineal tear of 4 cm and a complete distortion of perineal anatomy with pubic diastasis of 5 cm. She underwent an emergency laparotomy for the repair of bladder and bowel injury. A pelvic binder was applied for pubic diastasis and the perineal tear was repaired in 6 weeks. After 6 months of use of the pelvic binder, there was no difficulty or pain in walking, squatting, or weight-bearing. Conclusion: Pubic symphysis diastasis is a rare condition that should be kept in mind when peripartum women with excruciating pain in pubic symphysis present after a traumatic delivery. Clinical significance: Peripartum pubic diastasis can be successfully managed conservatively avoiding the need for surgery in many cases.