Primary tuberculosis of the parotid gland is rare and was first reported by Depaoli in 1893. Tuberculosis of the parotid gland usually presents as a slowly growing, nodular mass with variable degree of fixation to superficial and deep structures. The lesion is usually unilateral and clinically indistinguishable from other parotid swelling lesion. The diagnosis of primary tuberculosis of the parotid gland is difficult preoperatively and is frequently misdiagnosed with benign mixed tumor. The definitive diagnosis is made by the microbiologically and histopathologically examination. The treatment of early lesion is antituberculous medication and that of late lesion is excision with antituberculous medication for 1 to 2 years, but controversy is still remained. The authors experienced two cases of primary tuberculosis of the parotid gland, which one case treated by surgical excision and antituberculous medication, the other case treated by only antituberculous medication. A review of the literature was also carried out.