Small cell neuroendocrine carcinomas of the female genital tract are uncommon. They account for only around 2% of all the cervical cancers. Owing to their rarity and the lack of randomized trials, the diagnosis and treatment modalities of these tumors are unfamiliar and are mostly based on the neuroendocrine cancers of the lung. In spite of multimodal management strategy, the prognosis stays bad. We report a rare case of small cell neuroendocrine carcinoma of the cervix along with a brief literature review that is focused on the various aspects of this rare tumor.