Suprascapular notch transmit supra scapular nerve to the supraspinous fossa. Transverse scapular ligament bridges the notch to form a supra scapular foramen. This region is the most common location of supra scapular nerve injury & compression. Most important predisposing factor of supra scapular neuropathy is an ossified superior transverse scapular ligament. We report here a case of double supra scapular foramen found during our routine osteology demonstrations. The etiopathogenesis and clinical implications of such variations are discussed.