We present a challenging case of pigmented Bowen's disease on an upper eyelid in a New Zealand man of Tongan descent. Despite high exposure of intense sun in the Pacific Islands, cutaneous malignancies are rare(1), with most skin cancers diagnosed in Polynesia being in white immigrants (2). Pigmented Squamous Cell Carcinoma (SCC) in situ is rare, comprising 2% to 5% of all cases of Bowen's disease (3), with a higher prevalence in men and blacks aged 60-70 years (4). A 43 year old Tongan man, Fitzpatrick type IV, presented with a three year history of an enlarging pigmented lesion on the left upper eyelid, encroaching on the lash line, and had punch biopsies showing pigmented SCC in situ. We outline the clinical presentation, histopathology, medical (5) and surgical treatment options of this rare case in a difficult-to-treat anatomical area.