Introduction: Shafer first described the entity Verruciform Xanthoma (VX) in the year 1971 as an uncommon lesion of the mucosa of the oral cavity with unknown etiopathology. It is a papillary, polypoid or sessile growth that is usually non-symptomatic in nature. There is no gender predilection. It is reddish in color but sometimes may appear pale or hyperkeratotic with a cauliflower-like growth. The size of the lesion ranges from 2mm to 2cm or more. The hallmark and distinguishing feature of VX is the presence of lipid-laden foamy histiocytes usually present in the papillary region of the connective tissue. Case Report: Here we present a case of a 63-year-old male patient with a chief complaint of a whitish growth on the lower anterior gingiva which was firm in consistency measuring about 2 x 1 cm. A biopsy was taken and it was sent for histopathological diagnosis of the same. Conclusion: Verruciform xanthoma is a rare benign proliferative lesion of the oral cavity, characterized by the presence of foam cells within the connective tissue papillae. It is important to make the correct diagnosis for verruciform xanthoma by histopathology because of its resemblance to papilloma and other verrucous lesions.