Madelung disease-benign symetric lipomatosis--is uncommon condition affecting adults in age 30-60 years, characterized by symmetric accumulation of fatty tissue in the neck (type I), and upper back, shoulder girdle (type II). Type III is described as disproportionate accomodation of subcutaneous tissue in pelvic gridle. Pathogenesis of this disorder is not recognized well, but one of the most common risk factor is an alcohol consumption. In this paper a case of 60 years old man is described. Lipomatosis of neck started as single nodulus 6 years ago, and led to severe decrese of neck movements. As diagnosis has been established, the patient was surgicaly treated with good results.