Nigeria reported an estimated incidence of 1.5 million in the year 2017 making it one of the highest reasons for dermatology and plastic surgery consults in Nigeria to date. The current available prevalence does not represent the true prevalence of the condition as majority of the keloid affected individuals (Keloid formers) either resort to unorthodox/ traditional therapies while majority do not seek therapy at all. Several hypotheses have been propounded for the pathogenesis of Keloids with no clear definition of the development of the condition. As with its pathogenesis, a definite inheritance pattern has not been established for Keloids. Results from genome wide association studies in different populations have yielded different results of possible candidate loci.Although very common in Nigeria, its awareness within the population is still very low with several prevailing beliefs about the causes of Keloids within the population. However, majority of these beliefs are wrong. The erroneous beliefs about Keloids among Nigerians most importantly the cosmetic deformity associated with it have contributed negatively to the wellbeing of keloid formers hence making the condition a source of psychological trauma for them.Here we highlight the current situation of keloids within the Nigerian populace to raise pertinent questions. This will help to ultimately chart a new course for the awareness, acquire a better understanding of the pathogenesis, genetics and socio-cultural factors associated with Keloids among Nigerians.