Hairy polyps are rare congenital benign masses of the head and neck. They mainly occur in the nasopharynx and oropharynx. This paper reports a 12-month-old female patient who had a 0.5-cm sausage-shaped mass in the left nasal vestibule with nasal obstruction and habitual nose-picking. This lesion was surgically removed with no complications under monitored anesthesia. There was no evidence of recurrence through 24 months. To the best our knowledge, this is the first English literature report of a patient with a hairy polyp arising from a nasal vestibule.