Pearly penile papules (PPP) are common, 10-30% of men are affected and it is more common in uncircumcised men and black persons. They present usually as flesh-colored (or pearly) bumps in 1-3 rows at the base of the tip of the penis (glans).; they are typically 1-2mm in length and there are no symptoms. They are particularly common in young adults, and most men present around puberty or during their teenage years with concerns about these lesions. While some people may mistake them for genital warts in appearance, they are not infectious or contagious, but rather a cosmetic nuisance. Others will confuse pearly penile papules for Fordyce spots. Dermatologists are the best in diagnosing and treating this common problem, and the best treatment is typically electrodessication or laser, less common liquid nitrogen or application of special acids. At Toronto Dermatology Centre, we have treated hundreds of men successfully and painlessly with pearly penile papules from all over North America. Best to speak with one of our highly trained dermatologists about the best treatment options for you.