Lipomas of the colon are rare benign tumors second only to adenomas in their incidence. They are devoid of malignant potential. They usually become manifest by way of complications ranging from bleeding to acute intestinal obstruction. Radiological investigations may help to confirm the diagnosis in a significant number of non-emergent situations. However, confirmation of diagnosis is invariably done at the time of therapeutic intervention. A proper choice of therapeutic option between endoscopic or open surgical intervention needs to be made for a good outcome.