Sir, Burns due to chemical agents account for 3 % of all burns, though they cause more than 30 % of burn deaths [1]. Genital burns are less frequently seen in comparison with other burns. In the study of Michielsen et al., it was 3 %, in the report of Peck et al. 5 % and Alghanem et al. 1 % [2–4]. Isolated genital burns due to chemical agents are extremely rare. Literature on burn due to gamma hydroxybutaric acid (GHB) is scarce, and we thought it is worth presenting this unusual complication. A 19-year-old girl presented with a 3-day-old burn involving the vulva, right inner thigh and buttock. She stated that she slept 2 days back with a bottle of liquid GHB in her underpants while under the influence of intravenous heroin and “ice” (methamphetamine hydrochloride). She felt severe pain around her vulval region around 1500 hours the next day. Pain had not subsided with water irrigation. She failed to give a proper history regarding the mechanism of burn as she was in an unarousable state at that night. Leakage of GHB was the most likely cause of her burns. Examination revealed patchy full-thickness burns over the right labium majus, labia minora, right inner thigh and buttock, with a total surface area of 1% (Figs. 1 and 2). There was no involvement of the urethral or vaginal orifices, and she had no difficulty in passing urine. She used to consume a cocktail of heroin, methamphetamine, benzodiazepine, ethanol and GHB. She had a past history of unsuccessful detoxification of heroin. There were no self-inflicted injuries or burn in the past. She was catheterized and the vulval burns were covered with silver sulfadiazine due to pain issue. The rest of the burn was dressed with silver-impregnated dressing. Initial management was done in the intensive care unit to treat withdrawal effects. The first theatre session took place on the fifth postburn day, and the debridement of all burn wounds was performed. Skin grafting was postponed as the depth of burn was not obvious. Thigh and buttock wounds were reexcised and mesh grafting done (postburn day 7), and the graft was secured with negative pressure wound therapy (75 mmHg). The vulval wounds were managed conservatively with regular application of povidone iodine ointment. She had an uneventful recovery and self-discharged. The first clinic review remarked complete wound healing. Unfortunately, she defaulted subsequent clinic visits to scrutinize the behaviour of scars following GHB burns. Gamma hydroxybutyric acid is a naturally occurring substance found in the human central nervous system. It is also categorized as an illegal drug in many countries and regulated in Australia, Canada, New Zealand, the USA and some European countries. It is used medically to treat conditions like narcolepsy and alcoholism. GHB is the active substance in prescribed medication sodium oxybate (Xyrem (Jazz Pharmaceuticals, Inc., Palo Alto, CA, USA), Alcover (Laboratorio