Juvenile Nasopharyngeal Angiofibroma is a rare benign neoplasm occurring almost exclusively in adolescent males. Surgery is the only curative treatment, but it is very difficult to be performed, because of the nasopharyngeal location of the tumour. We studied a case and its treatment with arterial embolization before the intervention. Surgery is started using the transfacial route, with total resection and avoiding irreparable mutilations.