Structural anomalies of blood vessels without endothelial proliferation are termed ‘vascular malformations’. These malformations are present at the time of birth and continue their presence throughout the life of the individual. Most of these Port wine stains are unilateral in nature or typically showing segmental distribution that respects the midline. Although Port wine stains are considered to be common capillary malformation, their presentation bilaterally is a rare occurrence. Here we report a case of a rare bilateral presentation of Port wine stain involving both the face and neck, extending from the hairline on the scalp to the angle of the mouth and tragus of the ear on both the sides.