Basal cell carcinoma is a nonmelanocytic skin malignancy, which develops from the basal cells of the skin. More than 80% of BCCs occur on the face, head and neck. The clinicopathological types of BCC are nodular, infiltrative, micronodular, morpheaform and superficial. When the largest dimension of the lesion is more than 5 cms, it is referred to as giant basal cell carcinoma. Presentation of giant BCC indicates neglect and/or follow up. We hereby present a case of giant pigmented BCC in an elderly lady.