Condyloma accuminata (CA) is the overgrowth of epithelial tissue of the anogenital area which occurs due to the infection by human papilloma virus (HPV). Giant condyloma acuminata also called as Buschke-Löwenstein tumour (BLT) is a slow growing cauliflower-like tumour, locally aggressive and destructive, with possible malignant transformation. It is a disease transmitted by sexual intercourse and affects both women and men. We are reporting an interesting  case of giant condyloma accuminata in a multiparous, 70 year old lady, who presented with one year history of rapidly growing vulval mass, associated with malodorus vaginal discharge, pruritus, pain and difficulty in walking. The tumor measured 10cm x 8cm and was successfully excised with lotus petal skin grafting.

Keywords: Condyloma Accuminata; Human Papilloma Virus; Lotus Petal Skin Grafting.