Hereditary elliptocytosis with multiple myeloma is very rare in orientals and transmitted as an autosomal dominant trait, and although usually benign, occasionally results in severe hemolytic anemia. The incidence in white populations approaches 0.05%, and it is most frequent in Europeans. A case of hereditary elliptocytosis with multiple myeloma in a 60 years old female was presented. She had mild anemia with anisocytosis due to marked elliptocytosis and normal white blood cell count and platelet in peripheral blood. Hepatosplenomegaly was not noted. Bone marrow revealed massive proliferation of immature plasma cells. The purpose of this paper is to record the first reported case of hereditary elliptocytosis with myeloma in a Korean family.