Background: Vascular malformations generally present in young population. Non–invasive techniques with or without surgery are available, however surgical treatment has been found to be most definitive modality of treatment. In this study, we are presenting our experience of single stage partial/total excision with emphasis on the post–operative outcome. The aim of the study was to evaluate criteria for case selection, freedom from symptoms, cosmetic outcome, functional improvement, long term post–operative result and quality of life. Methods: This study was performed to assess outcome of surgical treatment for facial vascular malformation. All patients were offered primary surgery. The post–operative follow–up period was minimum 6 months and maximum for 2 years. Results: In selective cases of facial vascular malformation, primary surgical excision is an excellent method of treatment without any adjuvant treatment and gives a good patient satisfaction rate which may be attributed to satisfactory cosmetic outcome.