diff --git a/doc/source/whatsnew/v1.4.0.rst b/doc/source/whatsnew/v1.4.0.rst
index 5601048c409e1..210dfc0050bf4 100644
--- a/doc/source/whatsnew/v1.4.0.rst
+++ b/doc/source/whatsnew/v1.4.0.rst
@@ -81,7 +81,7 @@ Styler
   - Naive sparsification is now possible for LaTeX without the multirow package (:issue:`43369`)
   - :meth:`.Styler.to_html` omits CSSStyle rules for hidden table elements (:issue:`43619`)
   - Custom CSS classes can now be directly specified without string replacement (:issue:`43686`)
-  - Bug where row trimming failed to reflect hidden rows (:issue:`43703`)
+  - Bug where row trimming failed to reflect hidden rows (:issue:`43703`, :issue:`44247`)
   - Update and expand the export and use mechanics (:issue:`40675`)
   - New method :meth:`.Styler.hide` added and deprecates :meth:`.Styler.hide_index` and :meth:`.Styler.hide_columns` (:issue:`43758`)
 
diff --git a/pandas/io/formats/style_render.py b/pandas/io/formats/style_render.py
index 27a5170e48949..a71dd6f33e3c8 100644
--- a/pandas/io/formats/style_render.py
+++ b/pandas/io/formats/style_render.py
@@ -1230,29 +1230,37 @@ def _get_level_lengths(
         return lengths
 
     for i, lvl in enumerate(levels):
+        visible_row_count = 0  # used to break loop due to display trimming
         for j, row in enumerate(lvl):
-            if j >= max_index:
-                # stop the loop due to display trimming
+            if visible_row_count > max_index:
                 break
             if not sparsify:
+                # then lengths will always equal 1 since no aggregation.
                 if j not in hidden_elements:
                     lengths[(i, j)] = 1
+                    visible_row_count += 1
             elif (row is not lib.no_default) and (j not in hidden_elements):
+                # this element has not been sparsified so must be the start of section
                 last_label = j
                 lengths[(i, last_label)] = 1
+                visible_row_count += 1
             elif row is not lib.no_default:
-                # even if its hidden, keep track of it in case
-                # length >1 and later elements are visible
+                # even if the above is hidden, keep track of it in case length > 1 and
+                # later elements are visible
                 last_label = j
                 lengths[(i, last_label)] = 0
             elif j not in hidden_elements:
+                # then element must be part of sparsified section and is visible
+                visible_row_count += 1
                 if lengths[(i, last_label)] == 0:
-                    # if the previous iteration was first-of-kind but hidden then offset
+                    # if previous iteration was first-of-section but hidden then offset
                     last_label = j
                     lengths[(i, last_label)] = 1
                 else:
-                    # else add to previous iteration
-                    lengths[(i, last_label)] += 1
+                    # else add to previous iteration but do not extend more than max
+                    lengths[(i, last_label)] = min(
+                        max_index, 1 + lengths[(i, last_label)]
+                    )
 
     non_zero_lengths = {
         element: length for element, length in lengths.items() if length >= 1
diff --git a/pandas/tests/io/formats/style/test_style.py b/pandas/tests/io/formats/style/test_style.py
index cf2ec347015d1..8ac0dd03c9fd6 100644
--- a/pandas/tests/io/formats/style/test_style.py
+++ b/pandas/tests/io/formats/style/test_style.py
@@ -1577,3 +1577,26 @@ def test_row_trimming_hide_index():
     assert len(ctx["body"]) == 3
     for r, val in enumerate(["3", "4", "..."]):
         assert ctx["body"][r][1]["display_value"] == val
+
+
+def test_row_trimming_hide_index_mi():
+    # gh 44247
+    df = DataFrame([[1], [2], [3], [4], [5]])
+    df.index = MultiIndex.from_product([[0], [0, 1, 2, 3, 4]])
+    with pd.option_context("styler.render.max_rows", 2):
+        ctx = df.style.hide([(0, 0), (0, 1)], axis="index")._translate(True, True)
+    assert len(ctx["body"]) == 3
+
+    # level 0 index headers (sparsified)
+    assert {"value": 0, "attributes": 'rowspan="2"', "is_visible": True}.items() <= ctx[
+        "body"
+    ][0][0].items()
+    assert {"value": 0, "attributes": "", "is_visible": False}.items() <= ctx["body"][
+        1
+    ][0].items()
+    assert {"value": "...", "is_visible": True}.items() <= ctx["body"][2][0].items()
+
+    for r, val in enumerate(["2", "3", "..."]):
+        assert ctx["body"][r][1]["display_value"] == val  # level 1 index headers
+    for r, val in enumerate(["3", "4", "..."]):
+        assert ctx["body"][r][2]["display_value"] == val  # data values