Accessory breast is a relatively rare conduction, which is commoner in females than males. Most of them do not cause any discomforting symptoms but cosmetic embarrassment especially to a woman in the presence of her partner. Case Summary: A 23-year-old postpartum woman is presented who was managed for bilateral accessory breast at a district hospital. The accessory breasts were excised under ketamine anaesthesia. Conclusion: The treatment of accessory breast is excision because all disease conditions that affect normal breast can also affect accessory breast including malignant transformation.