Summary 1.Sexual precocity with accelerated somatic growth due to ovarian tumorsor cysts is relatively rare. Approximately twenty cases in young girls caused by granulosa cell tumors of the ovary have been reported. 2.A case of this character in a 25-month-old girl is reported. She had allof the changes one would expect to find in a case of granulosa cell tumor of the ovary, including a greatly increased urinary estrogen level. At operation, the right ovary was found to consist chiefly of a cyst 4 by 3 cm. in diameter. Following its surgical removal, careful search showed no evidence of a granulosa cell tumor. The cyst was classified as a follicular cyst of the ovary. The patient has been observed for over four years since the operation. There has been no recurrence of vaginal bleeding. The breasts, nipples, and labia have regressed to their normal size. The estrogen content of the urine has decreased to a normal level and remained normal. 3.A search of the literature revealed only two previously reported casessimilar in some respects to the case reported here. Summary 1.Sexual precocity with accelerated somatic growth due to ovarian tumorsor cysts is relatively rare. Approximately twenty cases in young girls caused by granulosa cell tumors of the ovary have been reported. 2.A case of this character in a 25-month-old girl is reported. She had allof the changes one would expect to find in a case of granulosa cell tumor of the ovary, including a greatly increased urinary estrogen level. At operation, the right ovary was found to consist chiefly of a cyst 4 by 3 cm. in diameter. Following its surgical removal, careful search showed no evidence of a granulosa cell tumor. The cyst was classified as a follicular cyst of the ovary. The patient has been observed for over four years since the operation. There has been no recurrence of vaginal bleeding. The breasts, nipples, and labia have regressed to their normal size. The estrogen content of the urine has decreased to a normal level and remained normal. 3.A search of the literature revealed only two previously reported casessimilar in some respects to the case reported here.