Sacral chordoma is a tumor that corresponds to 1 to 4% of all malignant bone tumors in the axial skeleton; It consists of a silent and slow-growing mass that requires radical treatment due to its high potential for local and metastatic invasion, its surgical treatment and management decision constitutes a challenge for the surgeon who faces it given the morbidity and affectation in the quality of life of the patient who in most cases is asymptomatic; We present the case of a 75-year-old patient who debuts with a giant sacral mass that generates very scarce symptoms in the context of an otherwise healthy patient, an analysis of the case is carried out regarding its clinical and diagnostic aspects.