The endobronchial lipomas are extremely rare and consist of 0.1 to 0.5% of all lung tumors and 1.4–13% of benign lung neoplasms. We present a 42-year-old woman with endobronchial lipoma and the initial evaluation and appropriate management. A 42-year-old woman presented with history of dry cough and wheeze for eight months was candidate for bronchoscopy study. Histopathology examination of excised lesion confirmed endobronchial lipoma of the left lower lobe bronchus. The post-bronchoscopy period was uneventful. The patient was disease free in the following three years. The physicians, especially at major referral lung centers, are much more likely to be familiar with endobronchial lipoma and its clinical awareness, because misdiagnosis can delay the start of an appropriate treatment.