Urethral prolapse in girls is an uncommon condition usually presenting with edematous, friable rosette of bright red or cyanotic tissue and mainly involves the distal urethra. It has been recognized as a disease of premenarcheal black girls and post-menopausal white women. The etiology is not completely understood. We report here a rare case of urethral prolapse with gangrenous change in a 7-year-old oriental girl.