Benign neurilemomas of the intraparotid facial nerve may simulate the more common parotid gland tumors in their clinical presentation. Neurilemoma should be included in the differential diagnosis of all parotid masses. Identification of the facial nerve is imperative, and frozen section diagnosis should be obtained whenever an unusual tumor is encountered in the parotid area. Once the presence of a benign neurilemoma is established, conservative surgical management to preserve the facial nerve is indicated and may limit the extent of resection.