We report the case of a postmenopausal patient presenting with bilateral solid Bartholin's gland lesions. The clinical and sonographic features suggested a nonaggressive process, allowing the surgeon to choose excisional biopsy of 1 of the lesions rather than radical excision to establish the diagnosis of a Bartholin's gland hamartoma. To our knowledge, this is the first sonographic description of a benign solid Bartholin's gland lesion.