Meralgia paresthetica is a relatively uncommon condition that is characterized by the symptom complex of pain, numbness, tingling, and paresthesias localized to the antero-lateral region of the thigh. The diagnosis is primarily clinical, as it is based upon the characteristic location of pain or dysesthesia, sensory disturbance on exam, and the absence of any other abnormal neurologic ﬁndings. The condition can be classiﬁed into one of two categories: spontaneous or iatrogenic. Spontaneous meralgia paresthetica takes form in the absence of any previous surgical procedure that may have led to inadvertent injury of the lateral femoral cutaneous nerve (LFCN) along its anatomic course. Iatrogenic meralgia paresthetica is secondary to mechanical factors, most notably compression of the nerve along its anatomic course. Previous surgery can predispose the LFCN to direct traumatic injury or entrapment secondary to postoperative scarring. Various reports of external compression due to obesity, pregnancy, abdominal ascites, tight garments, seat belts, braces, direct trauma, and pelvic tumors have been documented. The nerve may also be entrapped in a retroperitoneal location or at the precise location where it penetrates the fascia lata.