Pruritic urticarial papules and plaques of pregnancy (PUPPP) is a benign, uncomfortable condition most commonly associated with the late gestational period in primagravidas. This self-limiting dermatosis usually resolves in the early postpartum period. The etiology is not well understood and there are no specific laboratory tests. Pruritic urticarial papules and plaques of pregnancy are not associated with maternal or fetal complications and require only supportive management. Early identification will facilitate the initiation of timely comfort measures and an opportunity to provide reassurance and patient education.