A 37-year-old woman, originally from South Africa, presented for a gynecologic examination. Speculum examination revealed a friable cervical lesion. Both the cervical smear and biopsy contained intact, viable schistosome eggs consistent with those of Schistosoma haematobium. Appropriate treatment was initiated promptly, avoiding significant morbidity. The diagnosis of female genital schistosomiasis must be considered when the patient has a history of travel to or residence in endemic areas.