 Blue rubber blebneva syndrome, BRBNS, is a rare condition characterized by the presence of multiple vascular malformations and hemangiomas in the skin and internal organs. It is most commonly seen in children and can affect any organ, including the liver, muscle, brain, and bone marrow. Symptoms include cutaneous lesions, melena, and severe anemia. Treatment options include iron supplementation, blood transfusion, and surgery or endoscopy to remove the lesion. Only two cases have been reported from Pakistan, highlighting the need for greater awareness of this condition in the region. This article was authored by Habib Kaiser, Cameron Sadiq, and Bushra Afras.