Fibromuscular dysplasia (FMD) is an idiopathic, non-inflammatory, and non-atherosclerotic vascular disease of small- to medium-sized arteries. It can be occurred in almost all arteries and most commonly involving cervicocranial and renal arteries. FMD is commonly present as renovascular hypertension and affecting most young ladies. However, this case demonstrates a casuistically rare form of multiple arterial beds involvement at different sites, i.e. vertebral, coronary, hepatic, and lumbar arteries, with the conjunction of both bilateral renal and cervicocranial arteries.