<p class="abstract">Blount’s disease is more common in Afro-Caribbean, obese, female child. Early walking have been associated with the disease process. Adult patients with Blount’s disease who received no treatment previously, are rarely reported across the other parts of the world and hence less discussed. The treatment of neglected cases of Blount’s disease often requires correction of varus deformity, internal tibial torsion and medial plateau depression. We are reporting one such patient seen at our hospital. A skeletally mature, obese (BMI 43.2), male patient with bilateral tibia vara was operated for hemi-plateau elevation combined with a valgus osteotomy. Fixation was achieved with plate and staples. Surgical correction of one such patient is technically demanding and more complicated. If left untreated , the main risk is premature osteoarthritis.</p>