Aim of the study: To report a case of a polydactyly in an elderly persons involving all four limbs. Place and period of study: This case was studied in month of July 2007 in Bangalore who happens to be an owner of the shop on Mysore road, Bangalore. Case Report: A male aged 68 years was found to have a single extra digit (supernumerary of digits) in his all four limbs. He had no other anomalies except skin changes and shown no signs and symptoms. He was father 4 children where second son also had extra limb in his right upper limb. On Examination:He was elderly person tall with well built and well nourished .On clinical examination ,he had a single extra digit (supernumerary of digits) in all limbs i.e.,both upper limbs and lower limbs There was no cyanosis,clubbing jaundice and lymphadenopathy. All his systems were within normal limits. Local Examination: Local examination showed extra digits in all 4 limits So total, he had 12 fingers in his upper limbs (6 in each ) and 12 toes in his lower limbs(6 in each).All the toes and digits were mobile except in extra toe where there was limitation of movements and were almost same calibre of the remaining fingers /toes .No other anomalies were observed. Discussion: Since this is rare anomaly,this case has been review with the available literatures. Later, compared and correlated. Conclusion: This case study gives knowledge of variation the developments Hence it has embryological importance. Surgically it contributes to surgeons about the anatomy of supernumerary of digits so that it can be surgically corrected if required or for cosmetic purposes.Hence it has been studied anatomically and for surgical purposes. Conclusion: This case of polydactyly is of genetic and clinical importance This case has familial tendency and has history of consanguinity.So this case has studied in detail and reported.