Background: Subdermal implantable contraceptives are highly effective, offering convenient, long-acting, reversible contraception to millions of women worldwide. Insertion and removal procedures are uncomplicated and are routinely performed in the outpatient clinic setting. Insertion site complications are rare, however given the proximity to peripheral nerves and blood vessels there is a risk of neurovascular injury, especially with malpositioned or deeply placed implants. Methods: We present a case wherein a patient experienced severe proximal median nerve neuropathy in the non-dominant arm following the surgical removal of a sub-fascially placed implantable contraceptive, necessitating subsequent neurolysis. Results: At 9 months post-surgery, the patient exhibited significant recovery with regain of all median and anterior interosseus nerve motor function, and recovery of normal sensation in thumb, index and middle fingers, with exception of the index finger distal phalanx. Conclusions: Despite the safety and simplicity of implantable contraceptive insertion and removal, our case underscores the potential for nerve injuries. We advocate for close monitoring of patients with neuropraxia by clinical assessment and electromyography to ensure recovery. Operative intervention, such as neurolysis, can lead to improvement in function in the setting of severe neuropathy.