Abstract:Fibro-epithelial polyp are one of the common muco-cutaneous lesions but rarely seen in the oral cavity and from the palatine tonsil are extremely rare.1 These benign polypoid lesions are of mesodermal origin. Symptoms are mostly nonspecific or mild. A large pedunculated polyp may lead to an airway emergency if dislodged in the laryngeal inlet. An unusual presentation of pigmented pedunculated fibroepithelial polyp of palatine tonsil in a 14 yr old paediatric female patient is been discussed with the clinical and histopathological features of the lesion.