Purpose: To report a case of cosmetically successful treatment of nevus of Ota performed by scleral painting and scleral allograft transplantation. Methods: Scleral painting and allograft transplantation were done in a 28-year-old woman who had cosmetic problem due to nevus of Ota, and she was followed up for 5 months postoperatively. Results: The patient had no specific postoperative complication and was satisfied with the surgical results. Conclusions: For patients of nevus of Ota who have not been treated successfully, scleral painting and allograft transplation can be an effective cosmetic treatment. J Korean Ophthalmol Soc 47(6):996-999, 2006