Xanthograulomatous inflammation of genital tract is rare with only few cases of xanthograulomatous oophoritis reported from India in the literature. Ovarian mass lesion formation leads to clinical and radiological misdiagnosis of ovarian neoplasm in most of the cases. Hence, though rare, in female genital tract, knowledge and consideration of this distinct inflammatory lesion should be there while treating patient with tubo-ovarian mass to avoid unnecessary radical surgical procedures especially in young females. Herein, we report a case of xanthograulomatous oophoritis in a 32 year female mimicking an ovarian neoplasm.