This chapter provides detail description of Congenital tumours of the spine. Chapter has 6 well illustrated diagrams and pictures. Congenital tumors of spine, epidermoid and dermoid cysts, sacrococcygeal teratoma, lipoma, neurenteric cyst, arachnoid cyst, cavernous malformations, angiolipoma and astrocytoma are described in detail. 81 references are included at the end of the chapter to facilitate further reading