Testicular torsion is a rare medical condition among neonates. Main symptoms are swelling, erythema and pain of the scrotum. It can be both perinatal (diagnosed at birth) and postnatal (diagnosed after birth to 28 days of life). If not treated, atrophy of both involving and/or contra lateral testis can be developed. Still being the main treatment option is surgery, new researches suggest delayed surgery in perinatal torsion because of low rates of salvaging involving testis. We present a perinatal testicular torsion newborn who undergone surgery in third hour of life. Orchioectomy of the effected testis and orchiopexy of the contra lateral testis is performed. To the best of our knowledge, this is the earliest diagnostic time report of a testicular torsion with successful management. Physicians should always alert for testicular torsion in neonatal period, even in delivery room on performing first physical examination of the newborn baby.