Although many cases of accessory breast tissue have been reported, the majority occur in the axillary region. We report a rare case of accessory breast tissue located in the mons pubis along with bilateral axillary involvement. A 20-year-old female, at 12 weeks of gestation, presented with swelling and pain in the mons pubis region. On examination, similar swellings were also noted in both axillary regions. The patient had a history of bilateral mastectomy for virginal breast hypertrophy. Ultrasound and MRI of the swellings were suggestive of accessory breast tissue. Fine-needle aspiration cytology (FNAC) from the swellings revealed ductal epithelial cells, confirming the diagnosis of accessory breast tissue. Accessory breast tissue in the mons pubis is an exceptionally rare presentation. As accessory breast tissue commonly enlarges during pregnancy, ultrasound and MRI serve as valuable diagnostic tools in such cases.