Central giant cell granuloma (CGCG) is a benign lesion that affects children and young adults. Surgery is the traditional treatment of CGCG. However, calcitonin and intra-lesional steroid were used in this case with good results. In this case report, an 18-year-old Saudi girl presented with a recurrent CGCG and was treated with 6, weekly intralesional injections of steroid that gave very good results. Keywords: giant cell granuloma, steroids, surgical excision