Congenital amputations in child are so–called true amputations arising from limb bud arrest. Manifestations vary from complete absence of a complete limb (Amelia) to partial absence of phalanges (Partial Aphalangia). It may present as an isolated defect or may be associated with other congenital abnormalities like cleft lip, cleft palate, diaphragmatic hernia. Here we report a 3 month old child who presented to orthopedics outpatient department with complete absence of left lower limb. A lobule of fat was present over the lateral aspect of pelvis. No other congenital abnormality was noted in the child. Antenatal and intrapartum period was not significant. With proper prosthesis and other orthopedic rehabilitation, baby may live normal life but deformities like this are a big challenge to orthopaedic surgeon and the prosthetist in that they may be entirely unsuitable for standard prostheses because of gross variations in limb contour, substandard muscle power, and under–lying skeletal deficiencies.