This study reviews the experience with excision of nevus sebaceous by a single plastic surgery group from 1999-2005. This superficial skin lesion is present at birth and typically presents as a well-circumscribed irregularly raised yellowish plaque. An analysis of the reviewed charts revealed 95 nevus sebaceous lesions in 92 patients. Variables measured included the patient's sex, age, location of lesion, type of excision performed, any complications or recurrences, and the type of anesthetic used. Results showed that of the 92 patients, 57% were male and 43% were female. Ages ranged from six months to 70 years. Seventy-six percent of the lesions were located on the scalp or forehead. Alopecia was the major issue for the scalp lesions. There were five complications, with two requiring additional surgery. There were no recurrences. Sizes ranged from .1 - 6.5 cm. Eighty-five of the lesions required simple excision and ten required more complex excisions, including the use of one tissue expander. Fifty-four percent of these procedures were performed using general anesthetic. One basal cell carcinoma was found within one of the lesions. In conclusion, our findings in 92 patients were consistent with the most recent studies.