Three cases of familial unilateral gluteal hypoplasia are reported. Th
e index case in addition to having gluteal hypoplasia also has unilate
ral pectoral muscle hypoplasia. Another relative has unilateral symbra
chydactyly of the distal phalanges of one foot. All four affected indi
viduals in our pedigree were female. We propose that our cases are bes
t classified as part of the Poland complex of anomalies. Our cases emp
hasize that intrafamilial phenotypic heterogeneity is possible within
the Poland complex.