Abstract: Uterine Leiomyomas are a common condition, diagnosed in 20-25% of women of reproductive age. However, vulval leiomyomas are rare and often mistaken for Bartholin’s cyst before surgery. These benign tumors generally cause little to no discomfort, with patients typically presenting with a painless vulval swelling that has been present for an extended period, sometimes years. Although leiomyomas in the vulva are uncommon, they are the most prevalent benign solid tumors in this area. Vulval leiomyomas represent only 0.03% of all gynecologic tumors and 0.07% of vulval tumors.