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Chronic Kidney Disease is a longterm complication due to obstructive nephropathy secondary to the neurogenic bladder. There are many case reports of Neurogenic bladder caused by Pelvic/Gynecological surgeries. We present two such cases who had a history of pelvic surgery and developed neurogenic bladder which eventually lead to ESRD due to delay in diagnosis, evaluation, and management. First, is the case of a 48-year-old female, who underwent abdominal tubal ligation 15 years ago developed neurogenic bladder and then later chronic kidney disease. The second case is that of a 49-year-old female who underwent abdominal hysterectomy 10 years ago, developed neurogenic bladder, and eventually chronic kidney disease.