Background: The etiology of vestibular papillomatosis(VP) is still controversial. VP describes condition of multiple papillae that may cover entire surface of vestibule. Several studies have identified HPV positive VP lesions. On the other hand, some consider lesions as asymptomatic normal anatomical variants of pelvic architecture Objectives: We performed a descriptive retrospective study to identify characteristics and distribution of VP among Korean women with purpose of influencing factors Methods: The physical examination of each subject was determined by gynecologic department. Clinical report review in 360 Korean women with evaluation of human papilloma virus examination Results: In the comparison according to the age, site and PCR result of human papilloma virus and pathologic evaluation, relative differences were not observed. On gynecologic examination, in 4 cases, vulvar condyloma acuminatum was suspected, the other cases also accidentally observed papillary projections on the inner side of labia minor. Pathologic findings were finger-like protrusions of epidermis, acanthosis, and vascular dilation on the upper dermis. The incidence of VP in Korean female is 6 (1.67%) and did not reveal any HPV sequences in 6 women with VP lesions Conclusion: Owing to its papillomatous appearance, it is sometimes misdiagnosed as genital warts. A correct diagnosis of vestibular papillomatosis prevents unnecessary concern and laboratory tests. Therefore, dermatologists should recognize this condition