This benign submucosal lesion presents at birth, predominantly in females, and is frequently located in the maxillary anterior area. It is a localized, pedunculated, spongy mass with a smooth surface. A congenital epulis may be the same color as the surrounding mucosa. This condition may cause feeding or respiratory problems. The lesion may spontaneously regress, or excisional biopsy may be necessary. Recurrence is rare.