Objective: Neurological features like parasthesias and carpel tunnel syndrome is not uncommon in patients with hypothyroidism but facial palsy with hypothyroidism has scarcely been reported. Case report: 40 year old male patient presented as isolated right sided infranuclear facial nerve palsy. Prednisolone (60 mg/day) was prescribed as we expected it to be Bell’s palsy, however, the patient’s facial palsy did not improve completely.Further inquiry revealed that he had overt primary hypothyroidism. He was put on Levothyroxine and there was complete recovery of facial palsy in two months. Conclusions: This case report highlights that facial palsy is not always idiopathic (Bell’s) palsy which could be part of some underlying multisystemic disorder and prompt recognition and treatment of the associated disorder should offer the best chance for complete recovery.