Peripheral giant cell granuloma (PGCG) is a reactive entity which is usually benign and manifests exclusively over the alveolar crest or gingiva. The objective of this case report is to illustrate a case of PGCG and to review the possible diff erential diagnoses based on the history elicited by a patient, clinical features and radiological features. The present article reports a case of PGCG evolving from the mandibular alveolar gingiva in a 22-year-old female patient. The lesion was excised surgically and there was no recurrent swelling evident in the biopsied on follow-up. Clinical resemblance of PGCG to pyogenic granuloma, peripheral ossifying fi broma and many other peripheral lesions seen in the oral cavity, necessitates radiologic and histopathologic examinations to aid in the early and accurate diagnosis.