Dermatologists frequently recommend that melanocytic nevi of the scalp be excised, resulting in unsightly football-shaped scars and permanent localized hair loss (Figure 1). Unfortunately, surgery begets surgery, and some patients are subjected to recurrent procedures because parents and pediatricians become involved in notifying dermatologists of new scalp nevi as they appear. Although for darkly pigmented nevi that either fulfill some of the ABCDE criteria for melanoma (asymmetry, border irregularity, color variegation, diameter ≥6 mm, and/or evolution) or are difficult to follow clinically, removal might be justified, 2 particular clinical variants of scalp nevi that may appear worrisome for having malignant features are actually benign: they evolve in an innocent fashion and require observation only. These nevi, while frequently larger than 6 mm in diameter and multicolored, are notable for their often striking symmetry and distinctively bland and reassuring appearance to the trained eye. We encourage both dermatologists and pediatricians to be aware of the frequency and innocence of these lesions to prevent unnecessary concern, referrals, and surgical procedures.