Fibrous hamartoma (FH) is a rare and benign fibrous proliferation of soft tissue and is usually diagnosed during the first two years of life. Only less than 10% of cases have been diagnosed during the second year of life. These rare lesions occur two to three times more commonly in males, and recurrence is noted in 10–15% of cases. To date, fewer than 200 cases have been reported in the medical literature, and very little is known about its histiogenesis. We report a case of FH diagnosed in a two-year-old girl from Malaysia because of its extreme rarity.