Cutaneous leiomyoma is a rare benign painful tumour which arises from the smooth muscles of the skin. Smooth muscles in the skin are located in the arrector pili, nipple, areola, dartos muscle, walls of blood vessels and vulva1. Most common cutaneous leiomyoma is piloleiomyoma. It is usually solitary or multiple, rarely occurs as disseminated or zosteriform. We report a case of cutaneous leiomyoma over the trunk in an elderly male patient