Fetiform teratoma (homunculus) is a rare but distinct entity, characterized by presence of more organoid differentiation than the classical teratoma but not enough to classify as fetus-in-fetu. Presence of rudimentary limbs in presence/absence of axial skeleton is often reported as an important differentiating feature. Sacrococcygeal location has been reported in a few case reports but in neonates only. This is a rare case of sacrococcygeal fetiform teratoma (Altman type 1) in an 11-year-old girl presenting as a gluteal mass.