Leiomyoma is a benign tumor showing smooth muscle differentiation. Leiomyoma in the nasal cavity is a rare entity which can present with common nasal symptoms. We report a case of 19 years old male patient with nasal leiomyoma. The patient presented with recurrent episodes of nasal obstruction and epistaxis. On nasoendoscopy, there was a single grayish polypoidal mass in the right middle meatus which bled on touch. CT-scan of nose and paranasal sinus showed homogenous opacity indistinguishable from the right middle turbinate. The mass was excised endoscopically. There is no recurrence a year after the endoscopic excision of the nasal leiomyoma. Nasal leiomyoma carries a good prognosis after complete excision.Key words: endoscopic excision, leiomyoma, nasal cavity