Klinefelter Syndrome (KS) is a hereditary illness that affects both physical and cognitive development in men. KS symptoms vary significantly, and many people are never diagnosed or treated. The classic symptom of KS is testicular failure, which is caused by a decrease in testosterone levels. A decrease in testosterone levels can result in the development of male breasts, delayed puberty, reduced facial or body hair, and, most critically, male infertility. Through hormonal therapy, early detection of KS during puberty might decrease the damage that KS can have both physically and psychologically, and have a better life living with KS. This case study describes how a regular reproductive examination of a 39-year-old tribal epileptic man from the state of Meghalaya resulted in the first known instance of KS and a diagnosis of infertility. The case emphasises the lack of understanding regarding KS and the choices available to patients with KS to father children.