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This is a case report on how an 18 year old had to live with a growth on her back since last twelve years due to lack of medical facilities and taboos associated with these growths in developing nations like India. The girl had stunted growth due to the weight she was carrying and associated deformities in her spine. She was evaluated and finally underwent surgery for the same. Plexiform neurofibromas are tumors of the peripheral nerve sheaths. They occur in people born with genetic disease called neurofibromatosis. They are slow growing tumors and keep on growing with age. They are soft to begin with. There are instances when plexiform neurofibromas have shown rapid growth. Neurofibromas are generally considered benign and not removed until they cause any complication or for cosmetic reasons. We hereby present a case of plexiform neurofibroma which grew to reach a weight of 28 kgs and ended up causing spinal deformities in a young girl. Background: Plexiform neurofibromas are tumors of the peripheral nerve sheaths. They occur in people born with genetic disease called neurofibromatosis. They are slow growing tumorsand keep on growing with age. They are soft to begin with. There are instances when plexiform neurofibromas have shown rapid growth. Neurofibromas are generally considered benign and not removed until they cause any complication or for cosmetic reasons. Methods:. We hereby present a case of plexiform neurofibroma which grew to reach a weight of 28 kgs and ended up causing spinal deformities in a young girl. Results:This is a case report on how an 18 year old had to live with a growth on her back since last twelve years due to lack of medical facilities and taboos associated with these growths in developing nations like India. The girl had stunted growth due to the weight she was carrying and associated deformities in her spine. She was evaluated and finally underwent surgery for the same. Conclusions:in India, the lack of medical facilities and the negligence still met to the girl child is responsible for such humungous growths presenting at the tertiary centres even in the 21st century. It is the need of the hour to work on both these challenges. [ABSTRACT FROM AUTHOR]