Parameatal cyst is a rare entity and very few cases have been reported in literature. In twins such presentation is extremely rare and no case has been found reported in literature. One such case has been reported here in 3.5 years old twins. 4 mm-5 mm asymptomatic cyst have been observed in both child in area around meatal opening. Marsupialization has been done as parents were not willing excision for too young children.
