We describe the case of a 37-year-old man who had suffered from exhibitionism for 10 years. The strength of the patient's urges to act out decreased gradually with the commencement of low-dose trazodone treatment. During the 2 years of trazodone treatment, there was no acting out. The medicine was gradually decreased and eventually discontinued. The patient's impulse manifested only once, but is responded well to trazodone resumption. Thereafter, the patient has neither acted out nor had impulses, even without trazodone, for the following 2 years. This case suggests that trazodone can be useful in the treatment of exhibitionism and it can enhance the remitting process of exhibitionism in some patients. Copyright 2000 John Wiley & Sons, Ltd.