Tumours of the parapharyngeal region represent 0.5 % of all head and neck tumours. Most of them are benign and derive from the salivary gland tissue or have neurogenic offspring (neurolemmoma and paraganglioma). Fibrolipoma of the parapharyngeal space are extremely rare. There are only case reports found occasionally in the literature. We report about case of fibrolipoma in the parapharyngeal space of a 65-years-old man. Symptoms, diagnostic, differential diagnostic, as well as treatment will be discussed in context with the international literature.