This condition is called Macroglossia. On examination, the boy had no associated symptoms or any other systemic illness. The surgery was carefully planned & meticulously executed by Maxillofacial Surgeon Dr. S.M. Balaji. The large tongue was surgically trimmed with utmost care taken not to damage the huge blood vessels inside the tongue. A modified resection design incorporating the Pichler's central reduction, modified key-hole, and Kole's approach were incorporated to form a rough clover shaped design. Following this technique, both the length and width of the tongue were reduced more precisely. By choosing this design, the sensitive nerves and the tip of the tongue were preserved so as not to compromise taste perception. The boy is now able to use the new normal sized tongue to speak, swallow and taste.