Foreign bodies may be deposited, ingested or inserted in the head and neck region by a traumatic or iatrogenic injury. The penetrating foreign body in the neck has a specific apprehension because of the constellations of vital structures in the neck.[1,2] We report a 30 year old male patient who presented with a mass in the neck. Radiographic examination revealed a sharp No.11 surgical blade in the left side of the neck (Fig 1). He was unaware of the foreign body in his neck and was asymptomatic. The blade was surgically removed followed by primary closure under general anesthesia (Fig 2). The patient recovered well without any complications.