Lipoma is a benign tumor that typically affects middle-aged people and is rarely found in the oral cavity. Here, we report a 27-year-old female presented with a rare case of nasopharyngeal lipoma. She has been complaining of foreign body sensation in the throat, dysphagia, and attacks of obstructive sleep apnea for six months. On examination, nasopharyngeal mass was observed, which is originated from left eustachian tube orifice and extended to oropharynx, in contact with posterior surface of soft palate and uvula. CT revealed a well-defined capsulated lesion on the left side of lateral wall of nasopharynx which is emerging from left tonsil and measuring 17x18x20 mm. Histopathological examination confirmed the diagnosis of lipoma. Therefore, the mass was removed by surgical excision. Through a combined oral and endoscopic nasopharyngeal approach.