Polydactyly is a common congenital digital variation of the hand and foot. It may appear as isolated or in association with other birth defects. Of the different types, post-axial variety is the commonest one. We here report a case of post-axial hexadactyly in all four limbs in a middle-aged female from Eastern India. She was completely asymptomatic and did not reveal any other birth defect. The fingers of only the feet were mobile. Radiography revealed different types of skeletal configurations in the four limbs, knowledge of which is essential for proper planning of the corrective surgeries.
