An individual aged between six and seven years at death from a 7 th -to 9 th -century cemetery at Village Farm, Spofforth, North Yorkshire, presented significant pathological swelling to the left facial bones. The ectocranial surface was bulbous and uneven, and the expanded diplo' was densely packed with a mass of thick trabeculae.Radiological and histological analysis, in combination with the macroscopically observed pathological changes, supported the differential diagnosis of fibrous dysplasia. The skeletal changes to the left face and jaw would have resulted in a significant facial deformity. Individuals with physical impairments or disfigurements from Anglo-Saxon cemeteries, although rare, are sometimes afforded unusual burial practices more often associated with deviancy, for example, at the edge of cemeteries or on a reversed orientation. These unusual interments seem to indicate that diminished physical capabilities or unusual physical appearance resulted in disability in the form of diminished social status. The child from Spofforth was, however, buried in a normative manner, extended, supine and in a plain earth-cut grave, with no indication that their facial deformity had prompted unusual funerary provision. This example of facial disfigurement contributes to a growing corpus of potentially disabled individuals from early medieval England.