An young lady aged about 20 years born of non consanguineous marriage, who was full term pregnant presented with h/o labor pains in the Dept of OBG at SSMC, Tumkur. On general physical examination she had accessory nipples- 3 on the right side and 2 on the left side of which the right middle one was secreting milk. No associated anomaly were found. There was no family history of accessory nipples. Based on clinical features and investigations, a diagnosis of Isolated Polythelia was made. Renal ultrasound was normal. Echocardiogram revealed Situs solitus ( Levocardia). The genetic analysis was done which was normal. The patient was counseled and advised. The presence of supernumerary breast tissue indicates incomplete involution of the milk line, resulting in the formation of accessory mammary tissue from the redundant clusters of ectopic primordial breast cells. Accessory breast tissue has no physiologic significance, but sometimes it can be the site of breast carcinoma. Surgical treatment is performed as a prophylaxis against breast cancer which has a higher prevalence in polythelia or polymastia.