Although Klippel-Trenaunay syndrome (KTS) is an infrequently seen dermatological disorder with plethora of associations. It is largely a clinical diagnosis made by the presence of at least two of the three classic findings. We are reporting a 16-year-old male child who presented to us with the limb hypertrophy, portwine stains, congenital heart disease, and bony abnormality. Multiple associations of KTS make it an interesting case.