Elastofibroma dorsi (ED) is a benign, slow-growing soft tissue pseudo-tumor and is regarded as rare. The aetiology is unclear and ED is often associated with only distinct symptoms. This case report describes a 55-year-old woman with bilateral ED, who underwent surgical treatment with great result. Some prevalence studies suggest that ED is more common than previously assumed, and on suspicion of a low diagnostic rate the importance of sufficient primary examination is therefore emphasized, especially since surgical treatment of symptomatic ED is associated with fine results in case of symptoms, and low complication rate.