Choroidal nevi are a common retinal finding, present in approximately 5% of the population. These benign melanocytic tumors appear as flat gray lesions and are typically asymptomatic. We usually use the analogy of skin moles to describe these lesions, while most are benign and they may slowly grow, they do have the potential of turning into a more serious melanoma. For the majority of the lesions, a regular dilated fundus exam is all that is necessary to monitor these lesions. Retinal photography is often used to document the size and appearance in the initial visits. Newer technology like optical coherence tomography and ultrasonography are sometimes used to monitor more suspicious lesions.