Fibrous hamartoma of infancy (FHI) is a rare, benign tumor of the subcutis and lower dermis, which usually occurs within the first 2 years of life. Ninety one percent of the tumors occur in the first year of life. The histogenesis of FHI is unclear. The clinical course is typically benign and prognosis excellent. The physical characteristics of the subcutaneous mass in a child may suggest a malignant process; however, FHI should be included in the differential diagnosis. The prognosis of FHI is excellent with local surgical excision and it rarely recurs.