BACKGROUND: Ambiguous genitalia are the most common presentation with which the child is brought to the clinician in congenital adrenal hyperplasia (CAH). Several enzymes necessary for cortisol biosynthesis may be affected. Deficiency of 21-hydroxylase is responsible for 90-95% of all cases of CAH. CAH presents with spectrum of symptoms. Females present with genital virilisation. 3 case studies of congenital adrenal hyperplasia presenting to us with complaints of ambiguous genitalia are discussed here which were diagnosed as CAH. All of them are treated with T. Hydrocortisone and Fludrocortisone and later nerve sparing ventral clitoroplasty was done where nerves to clitoris are preserved. This is a new treatment which does not compromise her future sexual satisfaction.