A benign lesion also known as pyogenic granuloma, lobular capillary hemangioma (LCH) is relatively common a cutaneous and mucosal lesion. Earlier reports of LCH within the larynx and trachea have been reviewed and determined to be granulation tissue with an earlier history of airway trauma. Histopathologic review varies over time in this vascular lesion. Earlier, there is an extensive inflammatory infiltrate similar to granulation tissue; however, this becomes fibromyxoid as the lesion matures. An appropriate history is therefore mandatory to exclude any potential trauma, which would lead to granulation tissue as a result of injury. There is only one case reported earlier in the literature of LCH in the trachea.