A 63-year-old female patient presented with a 1-year history of asymptomatic atrophic plaques with multiple hard nodules in a dermatomal distribution from her left abdomen to the left back, which were clinically suspected as morphea. Two years ago, she had experienced herpes zoster at the same area. Although she took antiviral medication with analgesics, she suffered from postherpetic neuralgia for a year and eventually visited an oriental medical clinic to get Bong-chim on the area. After 6 months, hypopigmented and atrophic patch with uneven bumpy lesions developed on the acupunctured site. Histopathologic examination revealed granulomatous inflammation at the lower dermis and subcutis, composed of histiocytes and multinucleated giant cells with various sized vacuoles. She was diagnosed with foreign body granuloma and treated with triamcinolone intralesional injections several times, but she has not shown any improvement yet. Foreign body granuloma is one of the possible adverse events from acupuncture and it usually occurs as an inflammatory reaction of foreign bodies that incidentally or intentionally injected. This case presents a foreign body granuloma caused by honeybee acupuncture at the site of postherpetic neuralgia, and calls for caution and awareness of side effects of the acupuncture-related procedures.