A 2-year-old male child presented to the outpatient clinic with a painless swelling and deformity over the left scapular region which was insidious in onset and gradually progressing over the past 3 months. The child was first born, with no siblings and there was no history of a similar condition in any of the family members. The child had developmental milestones appropriate for his age. There was no history of trauma and no swelling elsewhere in the body. There was no history of fever or weight loss. On clinical examination, the left scapula looked asymmetrical as compared to the right, with the medial border of the left scapula seeming prominent and elevated from the thoracic cage (). A swelling was palpable 5 × 4 × 4 cm in size which was non-tender, immobile, arising from underlying bone and non-adherent to the overlying skin. It was non-fluctuant and non-compressible. Skin overlying the scapula was intact. Range of motion of shoulder and cervical spine was normal and unrestricted. On neurological examination, the sensory, motor, and reflex testing of bilateral upper limbs were within normal limits. There was no sign of compression of nerves, vessels, or lymphatic system. Plain radiographs and computed tomography (CT) scan (,, ) were done. The radiograph showed a bony lesion and the CT scan demonstrated a well-corticated bony excrescence arising from ventral surface of the left lower part of body of the scapula, 3 cm proximal to inferior angle and no associated fracture of the bony stalk. In this case, we had a skeletally immature 2-year-old male child who was asymptomatic apart from a painless mass over the scapula with no associated complications, and hence, was planned to be managed conservatively and followed up regularly at 6 monthly intervals till skeletal maturity. This was planned keeping in mind the fact that a benign ventral scapular osteochondroma ceases to grow after the growth plate has fused (once skeletal maturity has been reached) and is very rarely associated with complications such as fracture of the bony stalk, nerve impingement, and rapid enlargement associated with malignancy.