Abstract: Angiomyxoma is a rare benign mesenchymal tumor characterized by myxoid stroma and numerous thin-walled blood vessels. It most commonly arises in the pelvic and perineal regions of reproductive-age women. We present a case of a 28-year-old female (P2L2A4) who presented with a gradually enlarging, non-tender vaginal mass for one year. On examination, a 7×5 cm cystic swelling was noted arising from the left lateral vaginal wall. Ultrasonography revealed a well-defined heterogeneous, predominantly hypoechoic mass posterior to the urethra. The patient underwent complete excision of the mass under spinal anesthesia. Histopathological examination confirmed the diagnosis of benign angiomyxoma. The patient recovered well postoperatively and remains symptom-free on follow-up. Early diagnosis and surgical excision are crucial to prevent recurrence and preserve pelvic anatomy.