Introduction: Genital tuberculosis is a common occurrence in developing countries such as India where pulmonary tuberculosis is widespread. Case Series: We hereby discuss two interesting case reports. First case was a 34-year-old female who presented with bilateral ovarian mass with high level of serum CA-125. Second case was a 25-year-old female who presented with complaint of infertility, huge lump and pain in lower abdomen in a reproductive age, both mimic like ovarian malignancy but ultimately diagnosed as case of genital tuberculosis. Conclusion: Genital tuberculosis should be ruled out before performing any extended surgery. Both hydrosalpinx and ovarian malignancy present as bilateral adnexal masses, transabdominal ultrasonography was also non discriminative, serum CA-125 level was also elevated in both the conditions.