The frequency of pregnancy after endometrial ablation is reported in the literature to be 0.7%, with a variety of complications and adverse outcomes for the fetus. A 30-year-old woman underwent rollerball endometrial ablation for menometrorrhagia. Her menses returned to normal and she conceived 16 months later. The pregnancy was uncomplicated apart from diet-controlled gestational diabetes and cesarean delivery for a transverse lie. To our knowledge, this is the first literature report of a viable pregnancy after rollerball ablation.