Oral Verrucous Carcinoma is a premalignant lesion which has a potential to transform into oral squamous cell carcinoma. It is also called as Ackerman’s tumor, Buschke Loewenstein tumor, florid oral papillomatosis, epithelioma cuniculatum, and carcinoma cuniculatum. The commonest site is oral cavity followed by pharynx. It is difficult to differentiate the lesion from verrucous leukoplakia and verrucous hyperplasia. In this case report we are reporting such a case of verrucous carcinoma which is involving the lower lip.