Abstract: Spinal epidural lipomatosis is a disease involving excessive deposition of adipose tissue within epidural space of spinal canal, most commonly associated with exogenous steroid usage. Patients may be asymptomatic or may present with a low backache, weakness, and claudication. Diagnosis is usually made on MRI showing compression of dura by excessive epidural fat. Severe cases may show stellate or ‘Y’ sign. Increasing incidence of obesity and more common use of steroids has led to increased incidence of SEL over years. The main mode of treatment is conservative with surgery reserved for refractory cases.