A 13 year old, male, intact, non-descriptive dog weighing 23 kg was brought to Madras Veterinary College Teaching Hospital at small animal out patient surgery unit, with a history of progressive painful swelling at the left elbow joint. On clinical examination the mass was hard, irregularly contoured and the pet evinced mild pain on palpation. Fine needle aspiration cytology was performed to identify the nature of cells and to confirm the diagnosis which revealed Fibroma. Survey Radiograph of the left elbow region and the thorax were taken to rule out any bony involvement and metastasis if any. Since the results revealed absence of metastasis and bony involvement, surgical excision was planned. Routine heamato-biochemical profiles were performed to rule out organ health, which revealed animal had neutrophilia, increased ALP and altered Ca:P ratio. All other parameters were within the normal range. Surgical excision of the fibroma resulted in a wider defect which was non apposable through standard suturing procedures. Hence, an elbow fold flap was performed. Appropriate antibiotics and analgesics were prescribed and dressings were done on alternate days until would healing was noticed. Animal recovered uneventfully.

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