Three cases of nasopharyngeal angiofibroma have been described along with the histopathological findings, treatment and a brief review of the literature on the subject. It is of interest that one of these cases, histologically proven, was a female and this in spite of some rigidly held views about the strict sex linkage of the lesion. The tumour is uncommon but it is possible that unfamiliarity with the histopathology, as well as the likelihood of cessation of activity at any stage, may in part be responsible for its low recorded prevalence. The progress of each patient after four, two and one year respectively gives cause for some optimism, but the long-term prognosis must remain guarded.