Emmanuel Karanja, a 10-year-old boy, was born with a right shoulder swelling that progressively enlarged, causing his mother deep concern as she sought treatment. They eventually arrived at Mbagathi, where tests confirmed the mass was made up of large blood vessels and fatty tissue.A decision for surgery was arrived and they accepted. A multidisciplinary team comprising of Dr Hassan a visiting consultant Thoracic Cardiac and Vascular surgeon, Dr Areeb consultant Plastic and Reconstructive Surgeon, Dr Kinara Anesthesist and Dr Lumire Resident Medical Officer. It involved meticulous exploration, dissection of the mass, and ligation of its feeder vessels. Fortunately, the surgery was successful, and Emmanuel is now on his path to full recovery.