Benign mucous membrane pemphigoid (MMP) is an autoimmune disease characterized by chronic vesiculo-bullous eruptions, predominantly on mucous membranes but occasionally on the skin. The diagnosis is hard to achieve due to similarity in clinical picture with other vesiculo-bullous lesions such as pemphigus or bullous pemphigoid, thereby, posing a diagnostic dilemma for the clinician. Histopathology can confirm the diagnosis; however, corticosteroids can be started to relieve the symptoms while confirmatory reports are not available as it is common treatment for most mucosal lesions. After histopathology report, if diagnosis of MMP is established, anti-leprotic drug can be started along with corticosteroids. We report a case of MMP in a 43 year-old female who presented with difficulty in... eating and pain in her mouth (buccal mucosa). Skin lesions were also present on legs and shoulder. Oral mucosal lesions were managed with anti-leprotic drug (dapsone), and topical and systemic corticosteroids. Such approaches not only result in immediate relief of symptoms and improved clinical outcomes but also provide a better quality of life for patients.