Cervical tuberculosis, though rare, should be a consideration in cases presenting as pelvic inflammatory disease or malignant looking lesions of the cervix. Symptoms may vary but a high index of suspicion should be kept in mind owing to a persistently high prevalence of tuberculosis in developing countries like the Philippines. The patient in focus is a 32 year old nulligravid with a history of endometrial tuberculosis and prior anti-Koch's therapy, now complaining of abnormal vaginal discharge. On examination, she had a malignant looking exophytic growth on the cervix which turned out to be cervical tuberculosis. Further examination revealed involvement of the ovaries as well. With a prior history of endometrial tuberculosis, a diagnosis of genital tuberculosis was made. The diagnosis is achieved by the interplay of clinical assessment, risk factors and laboratory investigations. Prognosis of genital tuberculosis is generally good but an additional challenge arises with the emergence of multidrug resistance to standard anti-tuberculosis therapy.