Basal Cell Carcinoma is the most frequent skin cancers that result of a complex interaction between environmental, phenotypic and genetic factors. Ultraviolet (UV) exposure is the major carcinogenic factor so the predilection area of BCC is skin that is exposed to UV rays frequently. BCCs rarely metastasize but will be cosmetically problematic when it appears on the face and exposed areas. Case is reported in an adult female in a rural setup who came for cosmetic purpose. Who was treated with best modality available in setup, wide local excision with local nasolabial flap reconstruction.