Metastasis to the oral cavity usually originates from the breast, lung or kidneys. Transitional cell carcinoma (TCC) of the urinary bladder rarely metastasizes to the gingiva. Here we present an interesting new case of gingival metastasis in a 65 year old male. The patient was in between treatment for recurrent urinary bladder cancer. He defaulted the same for three months due to personal reasons, and presented in the clinic with a left sided mandibular swelling. Clinical examination revealed

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... ft lower gingival lesion, the biopsy of which confirmed TCC. Key Messages: In a patient with a known history of cancer, a gingival metastatic lesion although rare and an extreme possibility, has to be kept in mind.