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Abstract The osteology of the poorly known grandisoniid caecilian Gegeneophis carnosus is described for the first time by applying high-resolution X-ray micro-computed tomography to some recently collected material. The ossified skeleton comprises a stegokrotaphic skull, lower jaw, and vertebral column. The braincase, composed of the sphenethmoid and os basale, is covered by eight other cranial elements viz. nasopremaxilla, frontal, parietal, squamosal, pterygoquadrate, maxillopalatine, vomer, and stapes. The eye is covered by the maxillopalatine, and an (open) orbit is absent. The sphenethmoid is not exposed and lacks a solum nasi or a ventral flange. The olfactory chamber lacks an olfactory eminence. Slight asymmetries were observed in the structure and/or size of the left and right frontals and parietals and in the number and size of some foramina. Except for pterygoquadrate and stapes, all bones are pierced by foramina for nerves and/or blood vessels. The lower jaw shows a typical caecilian pattern with dentigerous pseudodentary and edentulous pseudoangular. Numbers of vertebrae range from 123–130 (mean 126). The vertebrae are somewhat heterogenous, varying in size and proportions along the column. Comparisons are made with other caecilians, especially other grandisoniids. Aspects of the cranial osteology of Gegeneophis, such as the closed orbit, subterminal mouth, and stegokrotaphy are possible adaptations to dedicated fossoriality, but functional, behavioural, and field ecological data are not yet available to test this.