Inverted papilloma is primary benign neoplasm that occurs in nasal cavity and paranasal sinus. Its incidence varying from 0.5 to 4% of all primary nasal tumours. It occurs in any age group. Men affected more than women. Surgical excision and histopathological examination has been main stay of treatment. It has been associated with high rate of recurrence up to 78%. Its tendency to transform in to malignancy is 10 to 15%. Therefore early detection of malignant transformation leads to better prognosis and increased survival. • We are presenting a case of 52 year old male patient with swelling over forehead for 1 month. He had history of operated for inverted papilloma one year back