Introduction: Lesions of the oral cavity could be unilateral / bilateral and could be the initial manifestation of certain underlying pathology. Oral diagnosticians’ may be the ones who diagnose them in their initial stages. Unilateral lesions have been well documented whereas bilateral soft tissue lesions have been rarely documented in the literature. Hence we classified commonly occurring bilateral oro mucosal soft tissue lesions. Aim: To classify bilaterally occurring oro-mucosal soft tissue lesions bilateral occurrence of lesions could be a normal variant or indicative of pathology. Some of the lesions may or may not be symptomatic and some can even have a malignant potential. It is imperative to know the different types of bilaterally occurring lesions as diagnosing such lesions of the oral mucosa by the clinician is important through an adequate knowledge and thorough examination, followed by investigation for the proper management and better prognosis for the patients.