Introduction: The vermiform appendix is an organ that can have variable sizes, locations as well as functional potentials. Appendicitis is the most common surgical emergency, but its diagnosis can be a challenge to the treating surgeon. A 25 years-old male was admitted to the surgical ward with a right sided abdominal pain. The initial clinical presentation was vague. He underwent an appendicectomy which revealed a very long appendix. About half of the adult patients with appendicitis present with the known classical signs and symptoms, but the clinical scenario might be occasionally completely different usually due to varying appendicular tip position. We describe here the longest and largest appendix removed in India to date, measuring about 20.5 cm in length.