Intrauterine device (IUD) migration is a rare complication that may necessitate surgical removal, typically via laparoscopy. With advancements in endoscopic surgery, vaginal natural orifice transluminal endoscopic surgery (vNOTES) offers a scarless and minimally invasive alternative. A 27-year-old woman (G2P2) with a history of IUD placement 4 years ago was diagnosed with an ectopic IUD in the right adnexa. vNOTES was performed under general anesthesia using the vPORT system (Ankalap, Biomicro Turkiye) for transvaginal access. The IUD was safely removed without complications. This case highlights the feasibility and safety of vNOTES for migrated IUD retrieval, offering a cosmetically superior and effective alternative to traditional laparoscopy.