Implanted contraceptive capsules occasionally cannot be removed by mea
ns of palpation with local dissection, and imaging guidance is necessa
ry. The authors report obtaining a single anteroposterior radiograph o
f the upper arm followed by sonography to localize the capsule and to
allow precise marking of the skin over the capsules. The method can be
performed quickly and is inexpensive and effective, allowing the loca
lization and removal procedures to be scheduled independently.