Bristol Rovers defender Byron Anthony's own goal in the second half gave 10-man Milton Keynes their eighth away win.
Aaron Wilbraham's header gave the visitors the lead but the advantage lasted only a minute when Jo Kuffour levelled with a dipping volley.
Dons were then a man down when defender Miguel Angel Llera was sent off for a second booking after 36 minutes.
But Anthony powerfully headed Jemal Johnson's cross into his own net to give the visitors all three points.
Bristol Rovers: Phillips, Lescott, Anthony, Elliott, Pipe (Ryan Green 78), Lines, Campbell, Disley (Rigg 46), Hughes (Duffy 72), Lambert, Kuffour. Subs Not Used: Hinton, Langley.
Booked: Anthony.
Goals: Kuffour 15.
Milton Keynes Dons: Gueret, Cummings, O'Hanlon, Llera, Stirling, Wright, Navarro, Leven, Johnson (Powell 69), Wilbraham (Flo 83), Baldock (Howell 41). Subs Not Used: Abbey, Gerba.
Sent Off: Llera (37).
Booked: Llera, O'Hanlon, Navarro.
Goals: Wilbraham 14, Anthony 59 og.
Att: 9,002.
Ref: Phil Crossley (Kent).
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