Bowel evisceration is a rare but severe complication that can occur following gynecological surgeries. This report details the case of a 45-year-old woman who experienced bowel evisceration one year after undergoing a total laparoscopic hysterectomy with bilateral salpingectomy. The evisceration occurred spontaneously at the time of using the toilet for the purpose of emptying the stool. The patient had no prior surgical abdominal history and no identified risk factors such as recent sexual intercourse or vaginal examination. This case underscores the importance of meticulous vaginal cuff closure during any form of hysterectomy and highlights the unpredictable nature of delayed bowel evisceration.