We report on first principles calculations of superconductivity in a single layer of lead on a silicon substrate including a full treatment of phononic and RPA screened coulomb interactions within the parameter free framework of Density Functional Theory for superconductors. A thorough investigation shows that several approximations that are commonly valid in bulk systems fail in this constrained 2D geometry. The calculated critical temperature turns out to be much higher than the experimental value of 1.86K. We argue that the only plausible explanation for the experimental Tc suppression is the onset of fluctuations of the superconducting order parameter.