Filariasis is a parasitic disease caused by the infection of nematodes of Filarioidea family. These are spread by blood–feeding insects such as mosquitoes and black flies. Lymphatic filariasis is a major cause of disability worldwide, with an estimated 40 million individuals affected by the disfiguring features of the disease. Repeated episodes of inflammation and lymphedema leads to lymphatic damage, chronic swelling, and elephantiasis of legs, arms, scrotum, vulva and breasts. We report a case of 45 years old male patient presenting with massive enlargement of scrotum in the OPD of department of surgery, RIMS, Ranchi. The patient was sent to pathology department for fine needle aspiration of inguinal lymph nodes. Following thorough examination and investigations, the patient was operated in department of surgery with resection of the mass while preserving the testes and spermatic cords followed by construction of neo–scrotum with anterior and posterior flaps, and shaft of penis by auto skin–graft.