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Faun tail nevus is a congenital, posterior midline cutaneous defect, characterized by a circumscribed, hypertrichotic area on the lumbosacral region. It may be a cutaneous marker of underlying spine and spinal cord anomaly. Although, patients with this condition present to us mostly for cosmetic disfigurement, we should be vigilant, and look beyond cosmetic disfigurement, to unearth any underlying spinal anomaly. Here, we present a case of faun tail nevus in a 6-year-old girl, who consulted us merely for cosmetic disability, which was found to be associated with underlying spinal anomalies affecting the lower part of spinal cord and solitary neurofibroma. The clinical importance of such a finding has prompted this report. [ABSTRACT FROM AUTHOR]