Assessing anatomical variation can reveal a more complete understanding of clinical correlates. Variations in the palatal region of the pharynx have been the focus of many research studies. Most reports closely examine the role of tonsillar infections in the development of abnormal uvular structure. In this report, we outline a considerable uvular attachment to a palatine tonsil in an 80-year-old female donor discovered during anatomical dissection. A thin extension of tissue originating in the apex of the uvula attached distally into the medial surface of the right palatine tonsil. This discovery inspired further investigation and a review of the literature.