After birth, remnants of the umbilical cord should separate spontaneously from the neonate within 1-2 weeks. However, in certain instances, following separation, a small red or pink moist bump forms in a neonate’s umbilical stump known as an umbilical granuloma. Treatment options include the application of silver nitrate, salt application, double-ligature technique, cryosurgery, and surgical excision. We present a 7 week old male with an umbilical granuloma treated with the double ligature technique using an absorbable suture with the disappearance of the lesion at a 1 week follow up visit. The ligature technique is one of several methods used in the treatment of umbilical granuloma. Although non-absorbable silk sutures are commonly used for this technique, absorbable sutures can be used for lesions with a narrow stalk.