Background: Juvenile nasopharyngeal angiofibroma (JNA) is rare otolaryngology disorder worldwide and in Saudi Arabia. It is a benign tumor that tends to bleed and occurs in the nasopharynx which most commonly occurs in men more than women.  Methods: A view of rare case report following a 27-year-old woman presented with recurrent attack of epistaxis for six months which was associated with nasal obstruction and snoring who was radiologically and surgically managed in Otolaryngology-Head and Neck Surgery (ORL-HNS) Clinic of Khamis Mushayt General Hospital and follow up for one year who was completely asymptomatic. Conclusion: Juvenile nasopharyngeal angiofibroma in a female is very rare, and if confirmed sex chromosome studies must be performed. Surgery is the mainstay of treatment of JNA. Preoperative embolization result in less blood loss and complete resection.