Duodenal lipomas are rare gastrointestional (GI) tumours. Due to their rarity and the uncertainty of their presentation, as the majority of these lesions are asymptomatic, these lesions are occasionally overlooked. Most patients experience symptoms in lesions > 2 cm in diameter. These lesions can present with GI haemorrhage, bowel obstruction and abdominal pain or discomfort. Symptomatic duodenal lipoma requires excision. Endoscopic excision is the suggested course of treatment. Endoscopic excision for big or sessile lesions may be technically challenging and increase the risk of bleeding and perforation. Thus, surgical excision would be the recommended method in such circumstances. We report a case of duodenal lipoma causing recurrent duodenal obstruction requiring surgical management.