The birth of a newborn baby with normal morphology gives a feeling of delight, hope and gratitude to the parents as well as to the health care providers. However the sight of a baby born with an unusual caudal appendage resembling a tail creates an unusual emotion of apprehension, fear and shame. The appearance of a true human tail at birth, defined as a caudal, vestigial, midline protrusion of muscle and adipose tissue with skin covering, is an unusual event with less than 60 cases reported in the literature so far. Here we report a case of an otherwise normal female newborn baby, born with a tail, in view of the rarity of the occurrence and to discuss the related issues.