Abstract: Giant condylomata are uncommon in developed countries; however, they are prevalent in developing nations.Condylomata acuminata are maximally transmitted by sexual contact.Giant condyloma acuminata, also called Buschke-Löwenstein tumor, is known to be a slow-growing cauliflower-like tumor, which is locally aggressive, with possible malignant transformation.Common management is conservative on medical lines.However, in extreme cases, surgical excision is required.A case of a 68-yearold nulliparous lady with giant condyloma acuminata is reviewed.She presented with a 3-year history of slowly progressive lesion on the vulva, with associated itching and another complaint of difficulty in walking.The growth measured 6 × 5 cm on left labia and was successfully excised with no evidence of malignancy.Concomitant reconstruction was also done.