Patient underwent surgical intervention through the right inguinoscrotal approach. The sac was opened which revealed omentum, few small bowel loops and a major portion of the transverse colon (Figure 2). The entire area of the posterior wall had given way. The sac was direct in nature. The surrounding musculo-aponeurotic structures were grossly attenuated best described as almost ABSTRACT Giant Inguinoscrotal Hernias continue to pose a technical challenge to the general surgeon. Awareness of all the possible contents prior to surgery is pivotal in avoiding disastrous complications. A case of a giant inguinal hernia with transverse colon as its content is presented to highlight the diversity of contents. The natural history and surgical options for treating giant inguinoscrotal hernias is discussed. Giant inguinoscrotal hernias should be operated upon at the earliest after contrast enhanced CT evaluation for ascertaining the contents. Open surgical approach to such cases is the safest.