AbstractMonozygotic and monoamniotic twins has maximum complications among these conjoined twins is a rare complication. Development of conjoined twin in monozygotic twins depend upon the period at which the division occurs. If division occurs after 13 days of ovulation the conjoined twins will form. Conjoint twins is a rare entity. This report presents a case of a primigravida at 18 weeks gestation with parapagus conjoined twins. Which was diagnosed by ultrasonography and underwent into second trimester termination.