We studied the frequency, morphological characteristics, and clinical significance of giant oocytes. The union of gametes during normal fertilization is characterized by the formation of two pronuclei (2PN) at syngamy. Development of triploidy (3PN) zygotes is considered to be abnormal fertilization mechanisms. Main explanations for the occurrence of 3PN include the failure of the second polar body extrusion, dispermic penetration, or the entry of one diploid sperm. Here we report the observation of giant oocytes, which can offer an additional explanation for the origin of 3PN. Observational Study This study includes 10 giant oocytes obtained from 10 patients who underwent conventional IVF or ICSI. For IVF cases, giant oocytes were identified during the fertilization assessment. As for ICSI cases, unfertilized giant oocytes could be identified during a course of cumulus cell removal just before the ICSI procedure. They were examined for the number of the pronucleus and polar bodies(PB)18-20 hours after IVF/ICSI. Fertilized giant oocytes were further cultured to assess the developmental potential. Results: A total of 2564 oocytes were collected during the study period. 10 of them (10/2564 oocytes: 0.39%) were classified as giant oocytes. When considering only those patients having giant oocytes, the frequency of giant oocytes was found to be 9.6%(10/104 oocytes). Diameter of all giant oocytes was measured to be around 150 μm. The volume of giant oocytes was calculated to be about twice as large as that of a normal sized oocyte. For ICSI cases(n=4), all giant oocytes had apparently the two distinct first-PBs at the 9 o’clock and 12 o’clock position in perivitelline space in relation to the holding pipette. Afterward 3PN were confirmed and the second-PB extrusion was clearly recognized adjacent to the respective first-PB. All 3PN zygotes showed subsequent early cleavage to reach blastocyst stage. For IVF cases, half of giant oocytes(n=3) showed 3PN formation with extrusion of two second-PBs, and the rest of them(n=3) remained unfertilized. 1) An additional explanation for the occurrence of 3PN zygote after ICSI/IVF can be drawn from this observation. Most giant oocytes seems to have two sets of metaphase II(MII)/PB structures. It is possible that chromosomal content in these giant oocytes with two first-polar bodies is diploid, so that giant oocytes can cause digynic triploidy. 2) Considering the volume of a giant oocyte, one mechanism of its formation might be the fusion of two oocytes. 3) The early recognition of 3PN embryo is of considerable clinical significance. Majority of 3PN embryos arising from giant oocytes are thought to be composed of all triploid blastomeres. No risks should be taken and these embryos are always excluded from transfer.