Uterine fibroid is the most common pelvic tumour in women of reproductive age. It has an incidence of 0.05 – 5%. Its prevalence peaks between 30 – 39 years. It is seven times (7x) more common among blacks than Caucasians [1]. Here, we present a 30-year-old primigarvid woman who had caesarean myomectomy in which 42 number of variously sized fibroid masses were enucleated in a private specialist hospital. This case report suggests that caesarean myomectomy does not appear to increase the risk of immediate or short term post-partum morbidity. It also shows that it is feasible to remove all the visible and palpable fibroid nodules during caesarean myomectomy with relative safety.