Parapagus dicephalus conjoined twins are rare but severe complication of multigestational pregnancies. Many conjoined twin pregnancies are diagnosed before reaching viability. We present a case report of conjoined twins reached term. A 35-year-old pregnant woman, who had no prenatal follow up, delivered conjoined twins at Van Maternity Hospital. The total weight of the fetuses was 4750 g. and they could be alive without advance support. Conjoined fetuses can be detected on prenatal screening and ultrasound. This case reinforces the importance of prenatal follow up.