Vascular anomalies are a complex group of developmental abnormalities. It results of arrested development at various stages of vasculogenesis. It requires an interdisciplinary approach including dermatologist, surgeon and radiologist. Extratruncular lesions maintain their embryological characteristics and ability to proliferate while truncal lesions do not have this ability. Indication for treatment includes bleeding, mass effect, functional impairment, skin necrosis, cosmetoc disfigurement and pain.