Necrotizing fasciitis is a life threatening disease and patients suffering from the disease require urgent surgical debridement and adjunct board spectrum parental antibiotics. However, this axiom might be challenged since we have a case of non-surgically managed necrotizing fasciitis. This is the first survival case that extensive necrotizing fasciitis was managed with a non-operative approach. It is not unrealistic to postulate that there is a certain indolent subtype of soft tissue infection, without multi-organ dysfunctions, can be managed with antibiotics alone if the disease pattern is better understood in the future.