This paper presents an extension of a displacement discontinuity method with cracktip elements (a boundary element method) proposed by the author for fatigue crack growth analysis in plane elastic media under mixed-mode conditions. The boundary element method consists of the non-singular displacement discontinuity elements presented by Crouch and Starfield and the crack-tip displacement discontinuity elements due to the author. In the boundary element implementation the left or right crack-tip element is placed locally at the corresponding left or right crack tip on top of the non-singular displacement discontinuity elements that cover the entire crack surface and the other boundaries. Crack growth is simulated with an incremental crack extension analysis based on the maximum circumferential stress criterion. In the numerical simulation, for each increment of crack extension, remeshing of existing boundaries is not required because of an intrinsic feature of the numerical approach. Crack growth is modeled by adding new boundary elements on the incremental crack extension to the previous crack boundaries. At the same time, the element characteristics of some related elements are adjusted according to the manner in which the boundary element method is implemented. As an example, the fatigue growth process of cracks emanating from a circular hole in a plane elastic plate is simulated using the numerical simulation approach.