Introduction: Giant cell tumour of the tendon sheath (GCTTS) is a rare benign slow-growing tumour that arises from the synovial cells of the tendon sheath. We present a case of recurrence of GCTTS of the right index finger following previous excision at a local general practitioner’s (GP) clinic. Case Rpeort :48 year old lady presented to our clinic with progressive swelling of the right index finger of 2 years duration. She had a lesion in the same site 4 years ago which was removed at a GP clinic. She was not sure of the histopathological result and no radiological imaging of any kind was done for her prior to excision of lesion. Discussion: GCTTS is diagnosed clinically with a radiological and pathological combination. Currently the best method of removal is marginal resection. Conclusion: The purpose for reporting this case report is to emphasize that where GCTTS is suspected, it is best removed in a hospital setting following radiological imaging and confirmation by histopathological examination (HPE). Owing to the local recurrence varying from 9 to 44%, proper diagnosis and appropriate treatment of GCTTS is crucial. Imaging examinations plays a pivtal role as many factors related to tumour recurrence and can be observed on imaging.