Lipomas are the most frequent mesenchymal benign soft tissue tumours, which may be localized in any region of the body. They are uncommonly sited on the chest wall. Rare variants like a giant pedunculated lipoma in older children could present with psycho-social components. We report a case of a 13 year old Nigerian middle belt teenage girl of Tiv ethnic extraction who had a giant pedunculated lipoma of the left infra-clavicular region and paused her education because of stigmatization by her peers in school. Her parents were subsistent farmers who could not afford her treatment. She was treated by a free rural surgical team on their visit to her community. She had excision under local anaesthesia, was counselled and eventually returned to school.